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VIRGINIA CVS PHARMACY, L.L.C.
CAH331313-00 SCHUYLER HOSPITAL INC
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Covered Entity Details
Entity Name
SCHUYLER HOSPITAL INC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH331313-00
Entity Address
220 STEUBEN ST
MONTOUR FALLS, NY 14865
Medicare Provider Number
331313
Participating Start Date
1/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 10769
18048 US ROUTE 1 HWY
RUTHER GLEN, VA 22546
Pharmacy Comments
Contract Details
Approval Date
7/8/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rebecca Gould, President / CFO
(607) 535-8639 Ext: 3801
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/8/2020
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