Contract Pharmacy Details

NORTH CAROLINA CVS PHARMACY, L.L.C.
CH044523F Cabarrus Community Health Centers, Inc.

Covered Entity Details

Entity Name

Cabarrus Community Health Centers, Inc.

Subdivision Name

Salisbury Health Center

Type

HRSA-Funded Health Center

340B ID

CH044523F

Entity Address

2129 Statesville Blvd
Salisbury, NC 28147-1411

Grant Number

H80CS06652

Participating Start Date

10/1/2020

Last Recertification Date

1/30/2024

Entity Termination Date

1/1/2025

Pharmacy Details

Pharmacy Name

NORTH CAROLINA CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 02571
1235 PECAN AVE.,
CHARLOTTE, NC 28205

Pharmacy Comments

Contract Details

Approval Date

7/31/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2025
Covered Entity Terminated

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

7/29/2020

340B Drug Pricing Program Database