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CAREMARK, L.L.C.
CH046680 RURAL HEALTH GROUP, INC.
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Covered Entity Details
Entity Name
RURAL HEALTH GROUP, INC.
Subdivision Name
Rural Health Group at Jackson
Type
HRSA-Funded Health Center
340B ID
CH046680
Entity Address
9425 NC HIGHWAY 305
JACKSON, NC 27845-9679
Grant Number
H80CS00866
Participating Start Date
10/1/2003
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
CAREMARK, L.L.C.
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7251 S. EASTERN AVE.
LAS VEGAS, NV 89119
Pharmacy Comments
Contract Details
Approval Date
10/9/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Yvonne Long-Gee, CEO
(252) 536-5820
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/9/2024
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