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JORDON BAKER ACQUISITIONS, INC.
CHC24142-06 HIGH COUNTRY COMMUNITY HEALTH
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Covered Entity Details
Entity Name
HIGH COUNTRY COMMUNITY HEALTH
Subdivision Name
High Country Community Health Surry County
Type
HRSA-Funded Health Center
340B ID
CHC24142-06
Entity Address
110 Dutchman Ct
Elkin, NC 28621
Grant Number
H80CS24142
Participating Start Date
1/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
JORDON BAKER ACQUISITIONS, INC.
Pharmacy Address
DBA ROAN MOUNTAIN PHARMACY OF BAKERSVILL
604 S HWY 226
BAKERSVILLE, NC 28705
Pharmacy Comments
Contract Details
Approval Date
4/1/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alice Salthouse, CEO
(828) 262-3886 Ext: 127
Contract Pharmacy Representative
Roan Mountain Pharmacy
Jordon Baker, Pharmacist
(423) 772-3591
Signed By Date
4/1/2022
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