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NORTH CAROLINA CVS PHARMACY, L.L.C.
RW424791 Central Carolina Health Network
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Covered Entity Details
Entity Name
Central Carolina Health Network
Subdivision Name
Type
Ryan White Part D
340B ID
RW424791
Entity Address
1 Centerview Drive
Suite 202
Greensboro, NC 27407
Grant Number
H12HA24791
Participating Start Date
4/1/2015
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07523
1040 ALAMANCE CHURCH RD
GREENSBORO, NC 27406
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chavanne Lamb, President & CEO
(336) 292-0665
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2020
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