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NORTH CAROLINA CVS PHARMACY, L.L.C.
DSH340061 UNC Hospitals
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Covered Entity Details
Entity Name
UNC Hospitals
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH340061
Entity Address
101 MANNING DR.
CHAPEL HILL, NC 27514
Medicare Provider Number
340061
Participating Start Date
12/1/1992
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05557
6901 MARKET ST
WILMINGTON, NC 28411
Pharmacy Comments
Contract Details
Approval Date
4/13/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Benjamin Rowell Daniels, Chief Operating Officer
(984) 974-7744
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/13/2021
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