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TARHEEL APOTHECARIES
FQHCLA434D MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.
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Covered Entity Details
Entity Name
MOUNTAIN AREA HEALTH EDUCATION CENTER, INC.
Subdivision Name
MAHEC Cane Creek Primary Care Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA434D
Entity Address
1542 Cane Creek Rd
Fletcher, NC 28732-7423
Grant Number
LALCS45788
Participating Start Date
10/1/2022
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
TARHEEL APOTHECARIES
Pharmacy Address
DBA: HEALTHRIDGE PHARMACY
3130 US 70 HWY
BLACK MOUNTAIN, NC 28711-9108
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/9/2022
Agreement registered in error
Contacts
Covered Entity Signing Official
William R Hathaway, CEO
(828) 257-4405
Contract Pharmacy Representative
Healthridge Pharmacy
Taylor Jones, Owner
(828) 669-9970
Signed By Date
10/17/2022
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