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MEDICAL ARTS PHARMACY OF LENOIR
CHC24142-08 HIGH COUNTRY COMMUNITY HEALTH
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Covered Entity Details
Entity Name
HIGH COUNTRY COMMUNITY HEALTH
Subdivision Name
Morganton Office 301 E Meeting Street
Type
HRSA-Funded Health Center
340B ID
CHC24142-08
Entity Address
301 E. Meeting Street
Morganton, NC 28655-3594
Grant Number
H80CS24142
Participating Start Date
1/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MEDICAL ARTS PHARMACY OF LENOIR
Pharmacy Address
328 MULBERRY ST SW
LENOIR, NC 28645
Pharmacy Comments
Contract Details
Approval Date
10/8/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tiffany Melchers, CFO
(828) 262-3886 Ext: 120
Contract Pharmacy Representative
Boone Drug
John Stacy, Pharmacy Manager
(828) 264-3055
Signed By Date
10/8/2019
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