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