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NORTH CAROLINA CVS PHARMACY, L.L.C.
CH04094R BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
Subdivision Name
Blue Ridge Health-Polk
Type
HRSA-Funded Health Center
340B ID
CH04094R
Entity Address
161 Walker St Bldg
COLUMBUS, NC 28722-9433
Grant Number
H80CS00650
Participating Start Date
4/1/2016
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07008
333 W MILLS ST.
COLUMBUS, NC 28722
Pharmacy Comments
Contract Details
Approval Date
1/13/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tammy Greenwell, CHIEF OPERATIONS OFFICER
(828) 233-2288
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/13/2023
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