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GORDON FAMILY PHARMACY
CH04094H BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
Subdivision Name
Blue Ridge Health - Brevard
Type
HRSA-Funded Health Center
340B ID
CH04094H
Entity Address
29 W French Broad St
STE 202/203
Brevard, NC 28712-4838
Grant Number
H80CS00650
Participating Start Date
4/1/2013
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
GORDON FAMILY PHARMACY
Pharmacy Address
518 SOUTH BROAD ST
BREVARD, NC 28712
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
Gordon Family Pharmacy
Jeff Gordon, Owner
(828) 577-7242
Signed By Date
10/12/2023
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