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The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
VIRGINIA CVS PHARMACY, L.L.C.
RWI23669B LGBT Life Center
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Covered Entity Details
Entity Name
LGBT Life Center
Subdivision Name
Type
Ryan White Part A
340B ID
RWI23669B
Entity Address
5360 Robin Hood Road
202
Norfolk, VA 23513
Grant Number
H89HA00053
Participating Start Date
2/1/2023
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 10088
5829 HIGH ST. WEST
PORTSMOUTH, VA 23703
Pharmacy Comments
Contract Details
Approval Date
7/7/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stacie Walls-Beegle, CEO
(757) 640-0929 Ext: 215
Contract Pharmacy Representative
CVS
Courtney Wilson, Representative
(817) 201-1395
Signed By Date
7/7/2023
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