Contract Pharmacy Details

WALGREEN CO.
CH03070D CENTRAL VIRGINIA HEALTH SERVICES, INC.

Covered Entity Details

Entity Name

CENTRAL VIRGINIA HEALTH SERVICES, INC.

Subdivision Name

CVHS SOUTHERN ALBEMARLE

Type

HRSA-Funded Health Center

340B ID

CH03070D

Entity Address

2256 IRISH RD
Esmont, VA 22937-1945

Grant Number

H80CS00479

Participating Start Date

4/1/1995

Last Recertification Date

2/28/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #10713
26036 COX RD.
NORTH DINWIDDIE, VA 23803-6566

Pharmacy Comments

Contract Details

Approval Date

10/17/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Paula Anne Tomko, Chief Executive Officer
(434) 581-3276

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

10/17/2023

340B Drug Pricing Program Database