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WAL-MART CENTRAL FILL 10-2670
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
WAL-MART CENTRAL FILL 10-2670
Pharmacy Address
608 SPRING HILL DR # 3 SUITE 300
SPRING, TX 77386
Pharmacy Comments
Contract Details
Approval Date
7/1/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Reuben Pettiford, CEO
(828) 747-8690
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/1/2020
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