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VIRGINIA CVS PHARMACY, L.L.C.
CH031525A PIEDMONT ACCESS TO HEALTH SERVICES INC
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Covered Entity Details
Entity Name
PIEDMONT ACCESS TO HEALTH SERVICES INC
Subdivision Name
PATHS Community Medical Center - DANVILLE
Type
HRSA-Funded Health Center
340B ID
CH031525A
Entity Address
705 Main St
Danville, VA 24541-1803
Grant Number
H80CS03972
Participating Start Date
10/1/2004
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07352
240-B LUSARDI DR
BROOKNEAL, VA 24528
Pharmacy Comments
Contract Details
Approval Date
1/13/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Robert A Pratt, Chief Operating Officer
(434) 791-3630 Ext: 1005
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/13/2021
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