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EASTGATE PHARMACY
CHC28348-05 APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
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Covered Entity Details
Entity Name
APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS
Subdivision Name
Franklin Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC28348-05
Entity Address
100 Thomas Heights, Suite 206
Franklin, NC 28734
Grant Number
H80CS28348
Participating Start Date
10/1/2016
Last Recertification Date
2/7/2018
Entity Termination Date
1/1/2019
Pharmacy Details
Pharmacy Name
EASTGATE PHARMACY
Pharmacy Address
93 EASTGATE DR
SYLVA, NC 28779-5171
Pharmacy Comments
Contract Details
Approval Date
10/17/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Nicholas H. Apostoleris, Chief Executive Officer
(828) 202-5335
Contract Pharmacy Representative
Kim Cowan, President
(828) 586-4605
Signed By Date
10/17/2016
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