340B Drug Pricing Program Database
VIRGINIA CVS PHARMACY, L.L.C.
SCH490021-00 CENTRA HEALTH - information as of 5/13/2025 2:58:50 AM
Covered Entity Details
Entity Name
CENTRA HEALTH
Subdivision Name
Lynchburg General Hospital
Type
Sole Community Hospital
340B ID
SCH490021-00
Entity Address
1920 ATHERHOLT ROAD
LYNCHBURG, VA 24501
Medicare Provider Number
490021
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03512
2259 LANGHORNE ROAD
LYNCHBURG, VA 24501
Pharmacy Comments
Contract Details
Approval Date
5/8/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James A. Frenchik, President Centra Health Lynchburg Region
(434) 200-3014
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/23/2025
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