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NORTH CAROLINA CVS PHARMACY, L.L.C.
CH044523J Cabarrus Community Health Centers, Inc.
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Covered Entity Details
Entity Name
Cabarrus Community Health Centers, Inc.
Subdivision Name
Salisbury Health Center
Type
HRSA-Funded Health Center
340B ID
CH044523J
Entity Address
330 Jake Alexander Blvd W STE 102 & 103
Salisbury, NC 28147-1385
Grant Number
H80CS06652
Participating Start Date
10/1/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY #01944
606 COLISEUM DR.
WINSTON-SALEM, NC 27106
Pharmacy Comments
Contract Details
Approval Date
7/13/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Don Holloman, CEO
(704) 792-2203
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/13/2023
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