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VIRGINIA CVS PHARMACY, L.L.C.
CHC12871-01 GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Evergreen Terrace
Type
HRSA-Funded Health Center
340B ID
CHC12871-01
Entity Address
9705 Liberia Ave
Manassas, VA 20110-1743
Grant Number
H80CS12871
Participating Start Date
7/1/2014
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy Address
CVS PHARMACY # 16233
2460 PRINCE WILLIAM PKWY
WOODBRIDGE, VA 22192
Pharmacy Comments
Contract Details
Approval Date
1/14/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Meye, Chief Executive Director
(703) 680-6524
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/14/2025
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