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BUFORD ROAD PHARMACY INC
CHC08749-00 MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS
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Covered Entity Details
Entity Name
MARTINSVILLE HENRY COUNTY COALITION FOR HEALTH AND WELLNESS
Subdivision Name
Bassett Family Practice
Type
HRSA-Funded Health Center
340B ID
CHC08749-00
Entity Address
324 T B Stanley Hwy
Bassett, VA 24055-6108
Grant Number
H80CS08749
Participating Start Date
1/1/2010
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
BUFORD ROAD PHARMACY INC
Pharmacy Address
2608 BUFORD RD
NORTH CHESTERFIELD, VA 23235-3422
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2019
Agreement registered in error
Contacts
Covered Entity Signing Official
Michael J. Farley, Executive Director
(276) 403-5099
Contract Pharmacy Representative
Barry's Montville Pharmacy
Alex Grant, Pharmacy Representative
(908) 420-5524
Signed By Date
4/15/2019
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