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VIRGINIA CVS PHARMACY, L.L.C.
CAH491307-00 PAGE MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
PAGE MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH491307-00
Entity Address
200 MEMORIAL DRIVE
LURAY, VA 22835
Medicare Provider Number
491307
Participating Start Date
9/22/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07947
1151 PORT REPUBLIC RD.,
HARRISONBURG, VA 22801
Pharmacy Comments
Contract Details
Approval Date
4/15/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Peter F. Gallagher, CFO
(540) 536-8031
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/15/2022
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