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NORTH CAROLINA CVS PHARMACY, L.L.C.
DSH340099 East Carolina Health d/b/a ECU Health Roanoke-Chowan Hospital
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Covered Entity Details
Entity Name
East Carolina Health d/b/a ECU Health Roanoke-Chowan Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH340099
Entity Address
500 SOUTH ACADEMY ST
AHOSKIE, NC 27910
Medicare Provider Number
340099
Participating Start Date
7/1/2005
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07324
420 W. MAIN ST.
MURFREESBORO, NC 27855
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Charles Alford, Vice President, Financial Services
(252) 641-7131
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2023
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