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VIRGINIA CVS PHARMACY, L.L.C.
STD235102 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Fort Tar
Type
Sexually Transmitted Diseases
340B ID
STD235102
Entity Address
6315 N Center Dr
Suite 100
Norfolk, VA 23502
Grant Number
NH25PS005137
Participating Start Date
4/1/2022
Last Recertification Date
5/27/2024
Pharmacy Details
Pharmacy Name
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 4520
1800 FREDERICK BLVD.
PORTSMOUTH, VA 23707
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
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/13/2022
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