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GORDON FAMILY PHARMACY
TB28712 TRANSYLVANIA COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
TRANSYLVANIA COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Tuberculosis
340B ID
TB28712
Entity Address
106 East Morgan Street Suite 105
BREVARD, NC 28712
Grant Number
1 NU52PS910292-01-00
Participating Start Date
1/1/2009
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
GORDON FAMILY PHARMACY
Pharmacy Address
FERNHILL PHARM INC.
518 S BROAD ST
FERNHILL PHARM INC
BREVARD, NC 28712-4438
Pharmacy Comments
Contract Details
Approval Date
5/15/2017
Contract Begin Date
5/18/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ELAINE J. RUSSELL, DIRECTOR
(828) 884-3135 Ext: 1747
Contract Pharmacy Representative
Eddie Bryson, Pharmacist
(828) 877-6711
Signed By Date
5/15/2017
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