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NORTH CAROLINA CVS PHARMACY, L.L.C.
CH04524A New Hanover Community Health Center Inc
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Covered Entity Details
Entity Name
New Hanover Community Health Center Inc
Subdivision Name
MedNorth Health Center at Calhoun Drive
Type
HRSA-Funded Health Center
340B ID
CH04524A
Entity Address
240 Calhoun Dr
Wilmington, NC 28412-6251
Grant Number
H80CS00572
Participating Start Date
10/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07350
5712 CASTLE HAYNE RD.
CASTLE HAYNE, NC 28429
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Althea Johnson, CEO
(910) 202-8623
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2021
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