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CENTER PHARMACY OF MAIDEN
CH045630 GASTON FAMILY HEALTH SERVICES INC
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Covered Entity Details
Entity Name
GASTON FAMILY HEALTH SERVICES INC
Subdivision Name
Kintegra Family Medicine - Hudson
Type
HRSA-Funded Health Center
340B ID
CH045630
Entity Address
991 W Hudson Blvd
Gastonia, NC 28052-6430
Grant Number
H80CS00293
Participating Start Date
10/1/1997
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
CENTER PHARMACY OF MAIDEN
Pharmacy Address
TAS DRUG MAIDEN
201-D ISLAND FORD RD
PO BOX 123
MAIDEN, NC 28650
Pharmacy Comments
Contract Details
Approval Date
7/14/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Spencer, CEO
(704) 616-2245
Contract Pharmacy Representative
TAS Drug
Anthony D Eason, Secretary
(828) 428-0668
Signed By Date
7/14/2020
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