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VIRGINIA CVS PHARMACY, L.L.C.
CH031060L NEIGHBORHOOD HEALTH
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Covered Entity Details
Entity Name
NEIGHBORHOOD HEALTH
Subdivision Name
Neighborhood Health King Street Dental
Type
HRSA-Funded Health Center
340B ID
CH031060L
Entity Address
4480 KING ST
Alexandria, VA 22302-1300
Grant Number
H80CS02446
Participating Start Date
1/1/2017
Last Recertification Date
2/16/2025
Pharmacy Details
Pharmacy Name
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
CVS PHARMACY # 17013
5115 LEESBURG PIKE
FALLS CHURCH, VA 22041
Pharmacy Comments
Contract Details
Approval Date
10/18/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Basim Khan, Executive Director
(703) 535-5568 Ext: 4104
Contract Pharmacy Representative
CVS Pharmacies
Christian Reid, 340B Program Director
(401) 770-2118
Signed By Date
10/18/2022
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