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THE PRESCRIPTION PAD OF BURNSVILLE
CAH341329-00 BLUE RIDGE REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
BLUE RIDGE REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH341329-00
Entity Address
125 HOSPITAL DRIVE
SPRUCE PINE, NC 28777
Medicare Provider Number
341329
Participating Start Date
4/1/2015
Last Recertification Date
9/7/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
THE PRESCRIPTION PAD OF BURNSVILLE
Pharmacy Address
730 E MAIN ST
BURNSVILLE, NC 28714-3102
Pharmacy Comments
Contract Details
Approval Date
4/18/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Clint Stewart, Regional Director, Finance
(828) 659-5196
Contract Pharmacy Representative
The Prescription Pad
Andy Stoker, Pharmacy Manger
(828) 678-3914
Signed By Date
4/18/2016
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