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CAREMARK NORTH CAROLINA SPECIALTY PHARMA
CH03070L1 CENTRAL VIRGINIA HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
CENTRAL VIRGINIA HEALTH SERVICES, INC.
Subdivision Name
CVHS FREDERICKSBURG
Type
HRSA-Funded Health Center
340B ID
CH03070L1
Entity Address
1965 EMANCIPATION HIGHWAY SUITE 100
Fredericksburg, VA 22401-6213
Grant Number
H80CS00479
Participating Start Date
1/1/2008
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
CAREMARK NORTH CAROLINA SPECIALTY PHARMA
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
10700 WORLD TRADE BLVD STE 110
RALEIGH, NC 27617
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
CVS Health
Jaclyn Parfitt, 340B Operations Manager
(401) 770-6467
Signed By Date
10/17/2023
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