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PUBLIX NORTH CAROLINA, LP
CH04094BK Blue Ridge Community Health Services, Inc.
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Covered Entity Details
Entity Name
Blue Ridge Community Health Services, Inc.
Subdivision Name
Pardee BlueMD 3334 Boylston Highway Suite 20
Type
HRSA-Funded Health Center
340B ID
CH04094BK
Entity Address
3334 Boylston Hwy STE 20
Mills River, NC 28759-4103
Grant Number
H80CS00650
Participating Start Date
9/13/2022
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
PUBLIX NORTH CAROLINA, LP
Pharmacy Address
PUBLIX PHARMACY #1473
1830 HENDERSONVILLE ROAD
ASHEVILLE, NC 28803
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Sunday, VP Finance, CFO
(828) 696-1175
Contract Pharmacy Representative
Publix
Amin Mrugesh, 340B Program Manager
(863) 688-1188 Ext: 52388
Signed By Date
10/13/2023
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