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TENNESSEE CVS PHARMACY, L.L.C.
CH031810 SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS, INC.
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Covered Entity Details
Entity Name
SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS, INC.
Subdivision Name
Saltville Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH031810
Entity Address
308 WEST MAIN STREET
SALTVILLE, VA 24370
Grant Number
H80CS00278
Participating Start Date
1/1/2002
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
TENNESSEE CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03726
3030 WEST STATE STREET
BRISTOL, TN 37620
Pharmacy Comments
Contract Details
Approval Date
10/8/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bryan Haynes, CEO
(276) 496-4492 Ext: 1004
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/8/2018
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