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CONCORD PHARMACY & SURGICAL SUPPLY
CH044523E Cabarrus Community Health Centers, Inc.
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Covered Entity Details
Entity Name
Cabarrus Community Health Centers, Inc.
Subdivision Name
CRCHC Patterson Farm Migrant Clinic
Type
HRSA-Funded Health Center
340B ID
CH044523E
Entity Address
3060 Millbridge Rd
China Grove, NC 28023-7716
Grant Number
H80CS06652
Participating Start Date
10/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CONCORD PHARMACY & SURGICAL SUPPLY
Pharmacy Address
3497 US HIGHWAY 601 S
CONCORD, NC 28025
Pharmacy Comments
Contract Details
Approval Date
4/5/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Don Holloman, CEO
(704) 792-2203
Contract Pharmacy Representative
Concord Pharmacy and Surgical Supply
Bela Shah, Owner
(704) 918-4419
Signed By Date
4/5/2023
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