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NORTH CAROLINA CVS PHARMACY, L.L.C.
CH04100N Advance Community Health, Inc.
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Covered Entity Details
Entity Name
Advance Community Health, Inc.
Subdivision Name
St. Augustine University CarePlex
Type
HRSA-Funded Health Center
340B ID
CH04100N
Entity Address
1315 Oakwood Avenue
Raleigh, NC 27610-2298
Grant Number
H80CS00087
Participating Start Date
4/1/2023
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #10682
3001 HILLSBOROUGH ST., SUITE 100
RALEIGH, NC 27607
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
Scot N. McCray, Chief Executive Officer
(919) 250-2923
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/16/2023
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