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WALMART PHARMACY 10-7304
CHC24142-03 HIGH COUNTRY COMMUNITY HEALTH
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Covered Entity Details
Entity Name
HIGH COUNTRY COMMUNITY HEALTH
Subdivision Name
Avery Dental Clinic
Type
HRSA-Funded Health Center
340B ID
CHC24142-03
Entity Address
504 PINEOLA ST
NEWLAND, NC 28657-7604
Grant Number
H80CS24142
Participating Start Date
1/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-7304
Pharmacy Address
1001 N. GREEN STREET
MORGANTON, NC 28655
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tiffany Melchers, CFO
(828) 262-3886 Ext: 120
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/14/2020
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