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AFFINITY SPECIALTY PHARMACY
FQHCLA434C MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.
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Covered Entity Details
Entity Name
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.
Subdivision Name
MAHEC Newbridge Primary Care Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA434C
Entity Address
218 Elkwood Ave STE 102
Asheville, NC 28804-2212
Grant Number
LALCS45788
Participating Start Date
10/1/2022
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
AFFINITY SPECIALTY PHARMACY
Pharmacy Address
DBA SONA SPECIALTY PHARMACY
1070 TUNNEL RD BLDG 3
ASHEVILLE, NC 28805-2014
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
11/15/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William R Hathaway, CEO
(828) 257-4405
Contract Pharmacy Representative
SONA PHARMACY
Brad Melson, Pharmacist in Charge
(828) 348-3033
Signed By Date
10/17/2022
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