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NORTH CAROLINA CVS PHARMACY, L.L.C.
CAH341324-00 OUTER BANKS HEALTH HOSPITAL DBA
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Covered Entity Details
Entity Name
OUTER BANKS HEALTH HOSPITAL DBA
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH341324-00
Entity Address
4800 S. CROATAN HWY
NAGS HEAD, NC 27959
Medicare Provider Number
341324
Participating Start Date
10/1/2018
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03385
704 S MEMORIAL DRIVE
GREENVILLE, NC 27834
Pharmacy Comments
Contract Details
Approval Date
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Todd Jeffrey Warlitner, Vice President of Finance
(252) 449-4514
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/12/2023
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