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VIRGINIA CVS PHARMACY, L.L.C.
CH03405E BLUE RIDGE MEDICAL CENTER INC
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Covered Entity Details
Entity Name
BLUE RIDGE MEDICAL CENTER INC
Subdivision Name
Blue Ridge Medical Center Appomattox
Type
HRSA-Funded Health Center
340B ID
CH03405E
Entity Address
624 Jones Street
Appomattox, VA 24522-9853
Grant Number
H80CS00175
Participating Start Date
4/1/2021
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03515
7738 RICHMOND HIGHWAY
APPOMATTOX, VA 24522
Pharmacy Comments
Contract Details
Approval Date
7/12/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lloyd Allan Belcher, CEO
(434) 263-4000
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/12/2023
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