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PENNSYLVANIA CVS PHARMACY, L.L.C.
FQHCLA431 VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
Subdivision Name
Family Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA431
Entity Address
400 N 17th St
STE 300
Allentown, PA 18104
Grant Number
LALCS45056
Participating Start Date
1/1/2022
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 3062
3192 ROUTE 115
EFFORT, PA 18330
Pharmacy Comments
Contract Details
Approval Date
1/13/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Veronica Gonzalez, Chief Executive Officer
(610) 969-2728
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/13/2025
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