340B Drug Pricing Program Database
VIRGINIA CVS PHARMACY, L.L.C.
DSH490032 Virginia Commonwealth University Health System - information as of 6/26/2025 4:01:28 AM
Covered Entity Details
Entity Name
Virginia Commonwealth University Health System
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH490032
Entity Address
1250 East Marshall Street
RICHMOND, VA 23298
Medicare Provider Number
490032
Participating Start Date
12/1/1992
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02706
8121 MIDLOTHIAN TPKE
NORTH CHESTERFIELD, VA 23235
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Matthew Jenkins, Vice President, Chief Pharmacy Officer
(804) 628-8676
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/15/2024
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