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CVS MANCHESTER NH, L.L.C.
CAH301308-00 VALLEY REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
VALLEY REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH301308-00
Entity Address
243 ELM STREET
CLAREMONT, NH 03743
Medicare Provider Number
301308
Participating Start Date
4/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
CVS MANCHESTER NH, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00647
250 PLAINFIELD RD.
UPPER VALLEY PLAZA
WEST LEBANON, NH 03784
Pharmacy Comments
Contract Details
Approval Date
1/15/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jocelyn Caple, Chief Executive Officer
(603) 542-3454
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2024
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