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NORTH CAROLINA CVS PHARMACY, L.L.C.
FQHCLA434J Mountain Area Health Education Center, INC.
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Covered Entity Details
Entity Name
Mountain Area Health Education Center, INC.
Subdivision Name
MAHEC OB/GYN Specialists Franklin
Type
Health Center Program Look-Alike
340B ID
FQHCLA434J
Entity Address
56 Medical Park Dr, Ste 300
Franklin, NC 28734-2634
Grant Number
LALCS45788
Participating Start Date
7/1/2024
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04116
24 WESTGATE PKWY.
ASHEVILLE, NC 28806
Pharmacy Comments
Contract Details
Approval Date
7/2/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William R Hathaway, CEO
(828) 257-4405
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/2/2024
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