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AFYA GROUP, LLC
CHC28345-04 CHARLOTTE COMMUNITY HEALTH CLINIC, INC.
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Covered Entity Details
Entity Name
CHARLOTTE COMMUNITY HEALTH CLINIC, INC.
Subdivision Name
Charlotte Community Health Clinic - ourBridge
Type
HRSA-Funded Health Center
340B ID
CHC28345-04
Entity Address
3400 Shamrock Dr
Charlotte, NC 28215-3212
Grant Number
H80CS28345
Participating Start Date
1/1/2025
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
AFYA GROUP, LLC
Pharmacy Address
DBA AVANT PHARMACY AND WELLNESS
9835 MONROE RD
CHARLOTTE, NC 28270
Pharmacy Comments
Contract Details
Approval Date
3/20/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carolyn C. Allison, CEO
(704) 316-6574
Contract Pharmacy Representative
Avant Pharmacy and Wellness
Amina Abubakar, CEO
(704) 537-0909
Signed By Date
3/20/2025
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