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CAREMARK PUERTO RICO SPECIALTY PHARMACY,
CH030790 COMMUNITY HEALTH SYSTEMS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH SYSTEMS, INC.
Subdivision Name
AccessHealth Rural Acres Clinic
Type
HRSA-Funded Health Center
340B ID
CH030790
Entity Address
252 Rural Acres Drive
Beckley, WV 25801-3503
Grant Number
H80CS00345
Participating Start Date
7/1/2000
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
CAREMARK PUERTO RICO SPECIALTY PHARMACY,
Pharmacy Address
CAREMARK PUERTO RICO SPECIALTY PHARMACY
6020 AVE ROBERTO SANCHEZ VILELLA
CAROLINA, PR 00982
Pharmacy Comments
Contract Details
Approval Date
5/7/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/3/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
CHARLES HUNT, CEO
(304) 252-8551 Ext: 1164
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
5/7/2021
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