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MEDICAL CENTER PHARMACY
CHC28348-03 Appalachian Mountain Community Health Center
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Covered Entity Details
Entity Name
Appalachian Mountain Community Health Center
Subdivision Name
Sylva Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC28348-03
Entity Address
154 Medical Park Loop
Suite A
Sylva, NC 28779-5271
Grant Number
H80CS28348
Participating Start Date
10/1/2016
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
MEDICAL CENTER PHARMACY
Pharmacy Address
509 BILTMORE AVENUE
ASHEVILLE, NC 28801
Pharmacy Comments
Contract Details
Approval Date
7/20/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2019
Ownership change
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Mission Health
Alan K. Knudsen, Pharmacy Specialist, 340B Program
(828) 213-4213
Signed By Date
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