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MOUNTAINMED
STD28752 MCDOWELL COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
MCDOWELL COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD28752
Entity Address
408 SPAULDING ROAD
MARION, NC 28752
Grant Number
6 NH25PS005152-05-09
Participating Start Date
1/1/2009
Last Recertification Date
5/13/2025
Pharmacy Details
Pharmacy Name
MOUNTAINMED
Pharmacy Address
74 NORTH GARDEN STREET
MARION, NC 28752-4037
Pharmacy Comments
Contract Details
Approval Date
1/14/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James H. Hines Jr., Health Director
(828) 223-3908
Contract Pharmacy Representative
Jeffery Carver, Pharmacist
(828) 652-9633
Signed By Date
1/14/2014
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