340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
NORTH CAROLINA CVS PHARMACY, L.L.C.
RWI20825 Amity Medical Group, Inc
Print
Covered Entity Details
Entity Name
Amity Medical Group, Inc
Subdivision Name
AMG1 Harris Blvd location
Type
Ryan White Part A
340B ID
RWI20825
Entity Address
6010 EAST W T HARRIS BLVD
CHARLOTTE, NC 28215-4084
Grant Number
H89HA11434
Participating Start Date
10/1/2016
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04299
1305 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105
Pharmacy Comments
Contract Details
Approval Date
1/10/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Olivia Bentley, Executive Director
(704) 968-8353
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/10/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session