340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ROAN MOUNTAIN PHARMACY
CHC24142-02 HIGH COUNTRY COMMUNITY HEALTH
Print
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
ROAN MOUNTAIN PHARMACY
Pharmacy Address
8251 HWY 19E
ROAN MOUNTAIN, TN 37687-3343
Pharmacy Comments
Contract Details
Approval Date
7/6/2020
Contract Begin Date
10/1/2020
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
Roan Mountain Pharmacy
Jordon Baker, Pharmacist
(423) 772-3591
Signed By Date
7/6/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session