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MOOSE PROFESSIONAL PHARMACY
CH044523J Cabarrus Community Health Centers, Inc.
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Covered Entity Details
Entity Name
Cabarrus Community Health Centers, Inc.
Subdivision Name
Salisbury Health Center
Type
HRSA-Funded Health Center
340B ID
CH044523J
Entity Address
330 Jake Alexander Blvd W STE 102 & 103
Salisbury, NC 28147-1385
Grant Number
H80CS06652
Participating Start Date
10/1/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MOOSE PROFESSIONAL PHARMACY
Pharmacy Address
740 CHURCH ST N
CONCORD, NC 28025
Pharmacy Comments
Contract Details
Approval Date
7/15/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Don Holloman, CEO
(704) 792-2203
Contract Pharmacy Representative
Moose Pharmacy
Joseph Moose, Owner
(704) 784-9613
Signed By Date
7/15/2022
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