Contract Pharmacy Details

NORTH CAROLINA CVS PHARMACY, L.L.C.
DSH340120 DUPLIN GENERAL HOSPITAL, INC. D/B/A ECU HEALTH DUPLIN HOSPITAL

Covered Entity Details

Entity Name

DUPLIN GENERAL HOSPITAL, INC. D/B/A ECU HEALTH DUPLIN HOSPITAL

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH340120

Entity Address

401 NORTH MAIN STREET
KENANSVILLE, NC 28349

Medicare Provider Number

340120

Participating Start Date

7/1/2004

Last Recertification Date

9/5/2024

Pharmacy Details

Pharmacy Name

NORTH CAROLINA CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 07043
634 S. MAIN ST.
KENANSVILLE, NC 28349

Pharmacy Comments

Contract Details

Approval Date

10/14/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Lucinda Crawford, VP Financial Services
(910) 296-2608

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

10/14/2023

340B Drug Pricing Program Database