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HICKORY FAMILY PHARMACY LLC
RWII286020 AIDS Leadership Foothills-area Alliance
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Covered Entity Details
Entity Name
AIDS Leadership Foothills-area Alliance
Subdivision Name
Type
Ryan White Part B
340B ID
RWII286020
Entity Address
1120 Fairgrove Church Rd
Suite 28
Hickory, NC 28602
Grant Number
X07HA00051
Participating Start Date
7/1/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HICKORY FAMILY PHARMACY LLC
Pharmacy Address
HICKORY FAMILY PHARMACY LLC.
1501 TATE BLVD SE STE 102
HICKORY, NC 28602-1385
Pharmacy Comments
Contract Details
Approval Date
5/5/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Iosvany Gispert, Sr. Director of Operations
(828) 322-1447
Contract Pharmacy Representative
Hickory Family Pharmacy
Maurice Batshon, Pharmacy General Manager
(828) 324-4630
Signed By Date
4/22/2021
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