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AFYA GROUP, LLC
CHC28345-01 Charlotte Community Health Clinic, Inc
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Covered Entity Details
Entity Name
Charlotte Community Health Clinic, Inc
Subdivision Name
Charlotte Community Health Clinic West
Type
HRSA-Funded Health Center
340B ID
CHC28345-01
Entity Address
5301 WILKINSON BLVD
CHARLOTTE, NC 28208-5455
Grant Number
H80CS28345
Participating Start Date
1/1/2021
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
AFYA GROUP, LLC
Pharmacy Address
DBA AVANT PHARMACY AND WELLNESS
9835 MONROE RD
CHARLOTTE, NC 28270
Pharmacy Comments
Contract Details
Approval Date
10/19/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carolyn C. Allison, CEO
(704) 316-6574
Contract Pharmacy Representative
RX CLINIC PHARMACY
Amina Abubakar, CEO
(704) 537-0909
Signed By Date
10/15/2020
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