Contract Pharmacy Details

NORTH CAROLINA CVS PHARMACY, L.L.C.
CH044523C CABARRUS COMMUNITY HEALTH CENTERS, INC.

Covered Entity Details

Entity Name

CABARRUS COMMUNITY HEALTH CENTERS, INC.

Subdivision Name

China Grove Family Medicine

Type

HRSA-Funded Health Center

340B ID

CH044523C

Entity Address

307 East Thom Street
China Grove, NC 28023

Grant Number

H80CS06652

Participating Start Date

4/1/2015

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

NORTH CAROLINA CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 07349
931 CONCORD PARKWAY
CONCORD, NC 28027

Pharmacy Comments

Contract Details

Approval Date

1/15/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2024
Pharmacy closed

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

1/15/2020

340B Drug Pricing Program Database