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PATHS BOYDTON PHARMACY
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
PATHS BOYDTON PHARMACY
Pharmacy Address
CLINIC PHARMACIES II,INC
380 WASHINGTON ST
BOYDTON, VA 23917
Pharmacy Comments
Contract Details
Approval Date
10/14/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2018
Ownership change
Contacts
Covered Entity Signing Official
WILLIAM CRUMPTON, COO
(434) 791-3630 Ext: 106
Contract Pharmacy Representative
imgRx
Cristie Pellegrini, National Pharmacy Director
(512) 596-2930 Ext: 706
Signed By Date
10/14/2015
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