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ETOWAH PHARMACY
CH040940 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 CENTER
Type
HRSA-Funded Health Center
340B ID
CH040940
Entity Address
2579 CHIMNEY ROCK RD
HENDERSONVILLE, NC 28792
Grant Number
H80CS00650
Participating Start Date
7/1/1995
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
ETOWAH PHARMACY
Pharmacy Address
6527 BREVARD RD
ETOWAH, NC 28729
Pharmacy Comments
Contract Details
Approval Date
4/7/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/19/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Tammy Greenwell, CHIEF OPERATIONS OFFICER
(828) 233-2288
Contract Pharmacy Representative
Doug London, owner
(828) 890-0022
Signed By Date
4/7/2015
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