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BROOKSHIRE PHARMACY
CHC28348-00 APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
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Covered Entity Details
Entity Name
APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
Subdivision Name
Dale Fell Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC28348-00
Entity Address
77 McDowell Street
Asheville, NC 28801-4435
Grant Number
H80CS28348
Participating Start Date
10/1/2016
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
BROOKSHIRE PHARMACY
Pharmacy Address
DBA: B & B PHARMACY
462 HAYWOOD RD
ASHEVILLE, NC 28806-4263
Pharmacy Comments
Contract Details
Approval Date
7/8/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Reuben J Pettiford, President and CEO
(828) 202-5335
Contract Pharmacy Representative
Brookshire Pharmacy
Larry Brookshire, Owner
(828) 778-4343
Signed By Date
7/8/2019
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