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VIRGINIA CVS PHARMACY, L.L.C.
CH037150 RICHMOND, CITY OF
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Covered Entity Details
Entity Name
RICHMOND, CITY OF
Subdivision Name
VERNON J. HARRIS EAST END CHC
Type
HRSA-Funded Health Center
340B ID
CH037150
Entity Address
719 N 25th St
Richmond, VA 23223-6539
Grant Number
H80CS00174
Participating Start Date
4/1/2000
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01994
3001 LAUDERDALE DRIVE
RICHMOND, VA 23233
Pharmacy Comments
Contract Details
Approval Date
4/10/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tracy Causey, CEO
(804) 253-1968
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/10/2024
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