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MISSION PHARMACY - TALLULAH
CHC28348-00 APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
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Covered Entity Details
Entity Name
APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
Subdivision Name
Dale Fell Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC28348-00
Entity Address
77 McDowell Street
Asheville, NC 28801-4435
Grant Number
H80CS28348
Participating Start Date
10/1/2016
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
MISSION PHARMACY - TALLULAH
Pharmacy Address
MISSION MEDICAL ASSOCIATES, INC.
409 TALLULAH ROAD
ROBBINSVILLE, NC 28771
Pharmacy Comments
Contract Details
Approval Date
4/17/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2019
Ownership change
Contacts
Covered Entity Signing Official
Nicholas H. Apostoleris, Chief Executive Officer
(828) 202-5335
Contract Pharmacy Representative
Mission Health
Alan K. Knudsen, Pharmacy Specialist, 340B Program
(828) 213-4213
Signed By Date
4/17/2017
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