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CANNON PHARMACY NORTH
CH044523D CABARRUS COMMUNITY HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
CABARRUS COMMUNITY HEALTH CENTERS, INC.
Subdivision Name
Northern Rowan Family Medicine
Type
HRSA-Funded Health Center
340B ID
CH044523D
Entity Address
300 N Salisbury Ave
Spencer, NC 28159
Grant Number
H80CS06652
Participating Start Date
1/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CANNON PHARMACY NORTH
Pharmacy Address
1402 N CANNON BLVD
KANNAPOLIS, NC 28083
Pharmacy Comments
Contract Details
Approval Date
10/30/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Don Holloman, CEO
(704) 792-2203
Contract Pharmacy Representative
Cannon Pharmacy
Ryan Armstrong, Owner
(704) 933-7948
Signed By Date
10/30/2018
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