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WAL-MART PHARMACY 10-1795
CH040940 BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
Subdivision Name
BLUE RIDGE HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH040940
Entity Address
2579 CHIMNEY ROCK RD
HENDERSONVILLE, NC 28792
Grant Number
H80CS00650
Participating Start Date
7/1/1995
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1795
Pharmacy Address
177 FOREST GATE DR
PISGAH FOREST, NC 28768
Pharmacy Comments
Contract Details
Approval Date
4/16/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tammy Greenwell, CHIEF OPERATIONS OFFICER
(828) 233-2288
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/16/2020
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