340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
INGLES PHARMACY #127
CAH341322-00 AdventHealth Polk
Print
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
INGLES PHARMACY #127
Pharmacy Address
276 NC HIGHWAY 9
LAKE LURE, NC 28746
Pharmacy Comments
Contract Details
Approval Date
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/23/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Elizabeth Presnell, CFO
(828) 894-0954
Contract Pharmacy Representative
Ingles Markets
Troy McNeill, Director, Clinical Services & Government Affairs
(828) 301-2914
Signed By Date
4/16/2018
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