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MARYLAND CVS PHARMACY, L.L.C.
CH039840 WALNUT STREET COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
WALNUT STREET COMMUNITY HEALTH CENTER
Subdivision Name
Walnut Street Community Heath Center, Inc. DBA: FAMILY HEALTHCARE OF HAGERSTOWN
Type
HRSA-Funded Health Center
340B ID
CH039840
Entity Address
201 South Cleveland Avenue
HAGERSTOWN, MD 21740-4738
Grant Number
H80CS00857
Participating Start Date
10/1/2003
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
MARYLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01435
1503 POTOMAC AVE.
HAGERSTOWN, MD 21742
Pharmacy Comments
Contract Details
Approval Date
4/2/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David F. Becker, CFO
(301) 745-3777 Ext: 1080
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/2/2025
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