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VIRGINIA CVS PHARMACY, L.L.C.
CHC08737-01 Roanoke Chowan Community Health Center, Inc.
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Covered Entity Details
Entity Name
Roanoke Chowan Community Health Center, Inc.
Subdivision Name
Ahoskie Comprehensive Care
Type
HRSA-Funded Health Center
340B ID
CHC08737-01
Entity Address
120 Health Center Drive
Ahoskie, NC 27910-8131
Grant Number
H80CS08737
Participating Start Date
7/1/2005
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01978
2100 S. CRATER RD.
PETERSBURG, VA 23805
Pharmacy Comments
Contract Details
Approval Date
4/2/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KIM SCHWARTZ, CEO
(252) 209-0237 Ext: 7124
Contract Pharmacy Representative
CVS Pharmacies
Christian Reid, 340B Program Director
(401) 770-2118
Signed By Date
4/2/2020
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