Contract Pharmacy Details

NORTH CAROLINA CVS PHARMACY, L.L.C.
CH044523E Cabarrus Community Health Centers, Inc.

Covered Entity Details

Entity Name

Cabarrus Community Health Centers, Inc.

Subdivision Name

CRCHC Patterson Farm Migrant Clinic

Type

HRSA-Funded Health Center

340B ID

CH044523E

Entity Address

3060 Millbridge Rd
China Grove, NC 28023-7716

Grant Number

H80CS06652

Participating Start Date

10/1/2020

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

NORTH CAROLINA CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 02749
5225 POPLAR TENT RD
CONCORD, NC 28027

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

8/18/2023
Business decision by covered entity and/or pharmacy

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