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RAYFIELD'S PHARMACY
CH03072D EASTERN SHORE RURAL HEALTH SYSTEM, INC
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Covered Entity Details
Entity Name
EASTERN SHORE RURAL HEALTH SYSTEM, INC
Subdivision Name
EASTVILLE COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH03072D
Entity Address
17068 LANKFORD HIGHWAY
EASTVILLE, VA 23347
Grant Number
H80CS00791
Participating Start Date
10/1/1999
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
RAYFIELD'S PHARMACY
Pharmacy Address
2 FIG ST
CAPE CHARLES, VA 23310-3322
Pharmacy Comments
Contract Details
Approval Date
3/9/2011
Contract Begin Date
3/9/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
2/7/2011
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