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NORTH CAROLINA CVS PHARMACY, L.L.C.
RWI282050 Charlotte Health Initiative
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Covered Entity Details
Entity Name
Charlotte Health Initiative
Subdivision Name
Type
Ryan White Part A
340B ID
RWI282050
Entity Address
4115 The Plaza
Charlotte, NC 28205
Grant Number
H89HA11434
Participating Start Date
4/1/2018
Last Recertification Date
2/4/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03185
1533 SOUTH BLVD
CHARLOTTE, NC 28203
Pharmacy Comments
Contract Details
Approval Date
10/11/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Tagbo Ekwonu, President
(704) 307-8589
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/11/2019
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