Contract Pharmacy Details

WALGREEN CO.
CH03070M CENTRAL VIRGINIA HEALTH SERVICES, INC.

Covered Entity Details

Entity Name

CENTRAL VIRGINIA HEALTH SERVICES, INC.

Subdivision Name

CVHS CHARLES CITY

Type

HRSA-Funded Health Center

340B ID

CH03070M

Entity Address

9950 Courthouse Rd
Charles City, VA 23030-3440

Grant Number

H80CS00479

Participating Start Date

1/1/2004

Last Recertification Date

2/28/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #10923
412 EAST MAIN ST.
LOUISA, VA 23093-6518

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