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CHS PHARMACY SERVICES, INC.
HM282031 The Charlotte-Mecklenburg Hospital Authority
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Covered Entity Details
Entity Name
The Charlotte-Mecklenburg Hospital Authority
Subdivision Name
Hemophilia Treatment Center of Levine Cancer Institute and Levine Children's
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM282031
Entity Address
1000 Blythe Blvd
Charlotte, NC 28203-5812
Grant Number
6H30MC240460701
Participating Start Date
1/1/2019
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
CHS PHARMACY SERVICES, INC.
Pharmacy Address
ATRIUM HEALTH PHARMACY KENILWORTH
1225 HARDING PL
SUITE 1400
CHARLOTTE, NC 28204-2826
Pharmacy Comments
Contract Details
Approval Date
7/10/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/13/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mary Ann Knovich, Medical Director of HTC of Levine Cancer Institute
(980) 442-4363
Contract Pharmacy Representative
Atrium Health
Michael Kehr, Director
(704) 512-4222
Signed By Date
7/10/2020
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