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VILLAGE PHARMACY
CHC24142-02 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
CHC24142-02
Entity Address
935 State Farm Road
Boone, NC 28607
Grant Number
H80CS24142
Participating Start Date
10/1/2014
Last Recertification Date
2/1/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
VILLAGE PHARMACY
Pharmacy Address
200 SHOPPES ON THE PARKWAY RD STE 54
BLOWING ROCK, NC 28605-9972
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Tiffany Melchers, CFO
(828) 262-3886 Ext: 120
Contract Pharmacy Representative
Mountain City Pharmacy
Corey Furman, President
(423) 727-0038
Signed By Date
4/14/2020
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