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VIRGINIA CVS PHARMACY, L.L.C.
CHC26636-02 Rockbridge Area Free Clinic
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Covered Entity Details
Entity Name
Rockbridge Area Free Clinic
Subdivision Name
RAHC Kendal Drive
Type
HRSA-Funded Health Center
340B ID
CHC26636-02
Entity Address
170A Kendal Dr
Lexington, VA 24450-1786
Grant Number
H80CS26636
Participating Start Date
10/1/2022
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05514
2148 EAST MIDLAND TRAIL
BUENA VISTA, VA 24416
Pharmacy Comments
Contract Details
Approval Date
7/9/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Suzanne Sheridan, Chief Executive Officer
(540) 464-8700 Ext: 7111
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/9/2024
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