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CANNON PHARMACY MAIN
CH044523E Cabarrus Community Health Centers, Inc.
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Covered Entity Details
Entity Name
Cabarrus Community Health Centers, Inc.
Subdivision Name
CRCHC Patterson Farm Migrant Clinic
Type
HRSA-Funded Health Center
340B ID
CH044523E
Entity Address
3060 Millbridge Rd
China Grove, NC 28023-7716
Grant Number
H80CS06652
Participating Start Date
10/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CANNON PHARMACY MAIN
Pharmacy Address
1706 S CANNON BLVD
KANNAPOLIS, NC 28083
Pharmacy Comments
Contract Details
Approval Date
7/31/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/18/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Don Holloman, CEO
(704) 792-2203
Contract Pharmacy Representative
Cannon Pharmacy
Ryan Armstrong, Owner
(704) 933-7948
Signed By Date
7/29/2020
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