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NORTH CAROLINA CVS PHARMACY, L.L.C.
CH046910 STEDMAN-WADE HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
STEDMAN-WADE HEALTH SERVICES, INC.
Subdivision Name
WADE FAMILY MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH046910
Entity Address
7118 MAIN STREET
WADE, NC 28395
Grant Number
H80CS00490
Participating Start Date
1/1/2003
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07540
404 RAMSEY ST.
FAYETTEVILLE, NC 28301
Pharmacy Comments
Contract Details
Approval Date
4/13/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARGARET COVINGTON, CEO
(910) 483-6694 Ext: 7030
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/13/2022
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