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METCALF COMPOUNDING PHARMACY INC.
CAH341319-00 TRANSYLVANIA COMMUNITY HOSPITAL D/B/A TRANSYLVANIA REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
TRANSYLVANIA COMMUNITY HOSPITAL D/B/A TRANSYLVANIA REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH341319-00
Entity Address
260 HOSPITAL DRIVE
BREVARD, NC 28712
Medicare Provider Number
341319
Participating Start Date
8/12/2010
Last Recertification Date
9/11/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
METCALF COMPOUNDING PHARMACY INC.
Pharmacy Address
50 ASHEVILLE HIGHWAY
BREVARD, NC 28712
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
3/1/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/14/2016
Ownership change
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
2/23/2011
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