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FOOTHILLS PHARMACY
CAH341322-00 AdventHealth Polk
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Covered Entity Details
Entity Name
AdventHealth Polk
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH341322-00
Entity Address
101 HOSPITAL DRIVE
COLUMBUS, NC 28722
Medicare Provider Number
341322
Participating Start Date
7/1/2017
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
FOOTHILLS PHARMACY
Pharmacy Address
80 SHUFORD RD
80 SHUFORD RD
COLUMBUS, NC 28722-7406
Pharmacy Comments
Contract Details
Approval Date
4/13/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Elizabeth Presnell, CFO
(828) 894-0954
Contract Pharmacy Representative
Foothills Pharmacy
Steven Burney, Owner
(828) 894-6112
Signed By Date
4/13/2018
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