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WAL-MART PHARMACY 10-1795
CH04094AB Blue Ridge Community Health Services, Inc.
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Covered Entity Details
Entity Name
Blue Ridge Community Health Services, Inc.
Subdivision Name
Polk County Middle School
Type
HRSA-Funded Health Center
340B ID
CH04094AB
Entity Address
321 Wolverine Trail
Mill Spring, NC 28756-5821
Grant Number
H80CS00650
Participating Start Date
4/1/2019
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1795
Pharmacy Address
177 FOREST GATE DR
PISGAH FOREST, NC 28768
Pharmacy Comments
Contract Details
Approval Date
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tammy Greenwell, CHIEF OPERATIONS OFFICER
(828) 233-2288
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/12/2023
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