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NORTH CAROLINA CVS PHARMACY, L.L.C.
STD27604 Alliance of AIDS Services-Carolina
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Covered Entity Details
Entity Name
Alliance of AIDS Services-Carolina
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD27604
Entity Address
3109 Poplarwood Ct.
200
Raleigh, NC 27604
Grant Number
6NH25PS005152-05-07
Participating Start Date
10/1/2018
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02714
3500 WAKE FOREST RD.
RALEIGH, NC 27609
Pharmacy Comments
Contract Details
Approval Date
3/22/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/13/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Melissa J Haithcox-Dennis, 340-B support consultant
(919) 834-2734
Contract Pharmacy Representative
CVS Health/Wellpartner
Marcia Appolonia, National Sales Executive
(919) 606-7977
Signed By Date
3/22/2021
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