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INGLES MARKETS PHARMACY #205
CH040940 BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
Subdivision Name
BLUE RIDGE HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH040940
Entity Address
2579 CHIMNEY ROCK RD
HENDERSONVILLE, NC 28792
Grant Number
H80CS00650
Participating Start Date
7/1/1995
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
INGLES MARKETS PHARMACY #205
Pharmacy Address
1851 HIGHWAY 14 EAST @ I-26
LANDRUM, SC 29356
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/17/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Tammy Greenwell, CHIEF OPERATIONS OFFICER
(828) 233-2288
Contract Pharmacy Representative
Ingles Markets
Troy McNeill, Director, Clinical Services & Government Affairs
(828) 301-2914
Signed By Date
10/15/2018
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