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NORTH CAROLINA CVS PHARMACY, L.L.C.
CH044523D CABARRUS COMMUNITY HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
CABARRUS COMMUNITY HEALTH CENTERS, INC.
Subdivision Name
Northern Rowan Family Medicine
Type
HRSA-Funded Health Center
340B ID
CH044523D
Entity Address
300 N Salisbury Ave
Spencer, NC 28159
Grant Number
H80CS06652
Participating Start Date
1/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03511
2221 CLOVERDALE AVE
WINSTON SALEM, NC 27103
Pharmacy Comments
Contract Details
Approval Date
1/13/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/18/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Don Holloman, CEO
(704) 792-2203
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/13/2020
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