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NORTH CAROLINA CVS PHARMACY, L.L.C.
STD286022 AIDS Leadership Foothills-area Alliance
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Covered Entity Details
Entity Name
AIDS Leadership Foothills-area Alliance
Subdivision Name
Downtown
Type
Sexually Transmitted Diseases
340B ID
STD286022
Entity Address
211 S NC 127 HWY
Hickory, NC 28602-3541
Grant Number
NH25PS005152-05-00
Participating Start Date
7/1/2019
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03808
2225 12TH AVENUE NE
HICKORY, NC 28601
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christina Kliesch, CEO
(828) 237-1577
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/16/2023
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