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MARYLAND CVS PHARMACY, L.L.C.
CH032750 CHOPTANK COMMUNITY HEALTH SYSTEM, INC.
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Covered Entity Details
Entity Name
CHOPTANK COMMUNITY HEALTH SYSTEM, INC.
Subdivision Name
DENTON MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH032750
Entity Address
808 S 5th Ave
DENTON, MD 21629-1392
Grant Number
H80CS00176
Participating Start Date
4/1/1999
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
MARYLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02531
8290 OCEAN GATEWAY
EASTON, MD 21601
Pharmacy Comments
Contract Details
Approval Date
7/10/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sara K. Rich, CEO
(410) 479-4306 Ext: 5021
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/10/2017
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