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BACK HOME PHARMACY INC DBA HOPEWELL DRUG
CH030700 CENTRAL VIRGINIA HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
CENTRAL VIRGINIA HEALTH SERVICES, INC.
Subdivision Name
CVHS Buckingham
Type
HRSA-Funded Health Center
340B ID
CH030700
Entity Address
25892 N James Madison Hwy
New Canton, VA 23123-2234
Grant Number
H80CS00479
Participating Start Date
7/1/1995
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
BACK HOME PHARMACY INC DBA HOPEWELL DRUG
Pharmacy Address
2508 GRAY ST
HOPEWELL, VA 23860-5026
Pharmacy Comments
Contract Details
Approval Date
7/14/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paula Anne Tomko, Chief Executive Officer
(434) 581-3276
Contract Pharmacy Representative
Back Home Pharmacy, Inc
George Fotis, Owner
(410) 961-9428
Signed By Date
7/14/2021
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