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CAREMARK NORTH CAROLINA SPECIALTY PHARMA
CH041000 Advance Community Health, Inc.
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Covered Entity Details
Entity Name
Advance Community Health, Inc.
Subdivision Name
Southeast Raleigh - South
Type
HRSA-Funded Health Center
340B ID
CH041000
Entity Address
1011 Rock Quarry Rd
Raleigh, NC 27610
Grant Number
H80CS00087
Participating Start Date
7/1/2001
Last Recertification Date
2/16/2025
Pharmacy Details
Pharmacy Name
CAREMARK NORTH CAROLINA SPECIALTY PHARMA
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
10700 WORLD TRADE BLVD STE 110
RALEIGH, NC 27617
Pharmacy Comments
Contract Details
Approval Date
1/22/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Penella M. Washington, CEO
(919) 250-2923
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/22/2020
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