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MARYLAND CVS PHARMACY, L.L.C.
CHC26633-00 Owensville Primary Care, Inc.
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Covered Entity Details
Entity Name
Owensville Primary Care, Inc.
Subdivision Name
OPC Shady Side V1
Type
HRSA-Funded Health Center
340B ID
CHC26633-00
Entity Address
6131 Shady Side Rd
Shady Side, MD 20764-9504
Grant Number
H80CS26633
Participating Start Date
10/1/2022
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
MARYLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01881
10095 WARD RD
DUNKIRK MARKETPLACE
DUNKIRK, MD 20754
Pharmacy Comments
Contract Details
Approval Date
8/25/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Juanita M Tryon, Chief Executive Officer
(443) 607-1438
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/16/2022
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