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CAREMARK NORTH CAROLINA SPECIALTY PHARMA
CH04094BT BLUE RIDGE COMMUNITY HEALTH SERVICES INC
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Covered Entity Details
Entity Name
BLUE RIDGE COMMUNITY HEALTH SERVICES INC
Subdivision Name
Blue Ridge Health - Brevard High School
Type
HRSA-Funded Health Center
340B ID
CH04094BT
Entity Address
609 N Country Club Rd
Brevard, NC 28712-8992
Grant Number
H80CS00650
Participating Start Date
4/1/2023
Last Recertification Date
2/13/2025
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
7/5/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tammy Greenwell, CHIEF OPERATIONS OFFICER
(828) 233-2288
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/5/2024
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