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VIRGINIA CVS PHARMACY, L.L.C.
CH030900 SHENANDOAH VALLEY MEDICAL SYSTEM, INCORPORATED
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Covered Entity Details
Entity Name
SHENANDOAH VALLEY MEDICAL SYSTEM, INCORPORATED
Subdivision Name
SCH Martinsburg
Type
HRSA-Funded Health Center
340B ID
CH030900
Entity Address
99 TAVERN ROAD
MARTINSBURG, WV 25401
Grant Number
H80CS00781
Participating Start Date
10/1/2001
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04292
840 BERRYVILLE AVE.
WINCHESTER, VA 22601
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
Michael Hassing, CEO
(304) 596-2610 Ext: 1062
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/14/2021
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