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CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC
CH030720 EASTERN SHORE RURAL HEALTH SYSTEM, INC
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Covered Entity Details
Entity Name
EASTERN SHORE RURAL HEALTH SYSTEM, INC
Subdivision Name
Eastern Shore Rural Health System, Inc.
Type
HRSA-Funded Health Center
340B ID
CH030720
Entity Address
20280 Market St
Onancock, VA 23417
Grant Number
H80CS00791
Participating Start Date
10/1/1999
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC
Pharmacy Address
DBA CVS/CAREMARK 48067
1780 WALL ST
MT PROSPECT, IL 60056
Pharmacy Comments
Contract Details
Approval Date
1/11/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Matthew Clay, CEO
(757) 414-0400 Ext: 1117
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/11/2022
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