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COMMONSHARE INC DBA COMMONSHARE HDH
CH03715H RICHMOND, CITY OF
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Covered Entity Details
Entity Name
RICHMOND, CITY OF
Subdivision Name
Greater Fulton Medical Center
Type
HRSA-Funded Health Center
340B ID
CH03715H
Entity Address
1718 Williamsburg Rd
Richmond, VA 23223
Grant Number
H80CS00174
Participating Start Date
1/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
COMMONSHARE INC DBA COMMONSHARE HDH
Pharmacy Address
HENRICO DOCTOR'S LOBBY
1602 SKIPWITH RD STE 201
HENRICO, VA 23229
Pharmacy Comments
Contract Details
Approval Date
1/18/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tracy Causey, CEO
(804) 253-1968
Contract Pharmacy Representative
Common Share
William Weimer II, Executive Director
(804) 416-6255
Signed By Date
1/18/2023
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