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NORTH CAROLINA CVS PHARMACY, L.L.C.
CHC24142-00 HIGH COUNTRY COMMUNITY HEALTH
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Covered Entity Details
Entity Name
HIGH COUNTRY COMMUNITY HEALTH
Subdivision Name
High Country Community Health: Watauga Center
Type
HRSA-Funded Health Center
340B ID
CHC24142-00
Entity Address
935 State Farm Road
Boone, NC 28607
Grant Number
H80CS24142
Participating Start Date
1/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06401
200 N. GREEN ST.
MORGANTON, NC 28655
Pharmacy Comments
Contract Details
Approval Date
7/2/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tonya C Harris, CFO
(828) 262-3886
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/2/2018
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