340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MISSION PHARMACY - TALLULAH
CHC28348-06 Appalachian Mountain Community Health Center
Print
Covered Entity Details
Entity Name
Appalachian Mountain Community Health Center
Subdivision Name
Tallulah Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC28348-06
Entity Address
409 Tallulah Rd
Robbinsville, NC 28771
Grant Number
H80CS28348
Participating Start Date
1/1/2017
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
1/12/2017
Contract Begin Date
4/1/2017
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
1/12/2017
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session