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NORTH CAROLINA CVS PHARMACY, L.L.C.
CH04094M BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
Subdivision Name
HILLANDALE ELEMENTARY SCHOOL
Type
HRSA-Funded Health Center
340B ID
CH04094M
Entity Address
40 Preston Ln
East Flat Rock, NC 28726-2810
Grant Number
H80CS00650
Participating Start Date
4/1/2014
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04467
128 CROSS ROAD DR.
MILLS RIVER, NC 28759
Pharmacy Comments
Contract Details
Approval Date
1/6/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard Hudspeth, CEO
(828) 692-4289
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/6/2025
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