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ALABAMA CVS PHARMACY, L.L.C.
SCH010150-00 Regional Medical Center of Central Alabama
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Covered Entity Details
Entity Name
Regional Medical Center of Central Alabama
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH010150-00
Entity Address
29 LV STABLER DRIVE
GREENVILLE, AL 36037
Medicare Provider Number
010150
Participating Start Date
10/1/2019
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
ALABAMA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04947
4790 MOBILE HWY
MONTGOMERY, AL 36108
Pharmacy Comments
Contract Details
Approval Date
1/17/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carol Harold, Chief Financial Officer
(334) 383-2211
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/17/2022
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