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CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC
CH037920 RITCHIE COUNTY PRIMARY CARE ASSOCIATION, INC
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Covered Entity Details
Entity Name
RITCHIE COUNTY PRIMARY CARE ASSOCIATION, INC
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH037920
Entity Address
135 SOUTH PENN AVE
HARRISVILLE, WV 26362
Grant Number
H80CS00843
Participating Start Date
1/1/2004
Last Recertification Date
2/10/2025
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
7/8/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Amy C. Yokum, CEO
(304) 643-4005 Ext: 3046131904
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/8/2022
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