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NORTH CAROLINA CVS PHARMACY, L.L.C.
CAH341315-00 Bladen Healthcare, LLC DBA Cape Fear Valley Health System - Bladen County Hospital
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Covered Entity Details
Entity Name
Bladen Healthcare, LLC DBA Cape Fear Valley Health System - Bladen County Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH341315-00
Entity Address
501 S. Poplar Street
Elizabethtown, NC 28337
Medicare Provider Number
341315
Participating Start Date
10/1/2011
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07570
902 N. J.K. POWELL BLVD.
WHITEVILLE, NC 28472
Pharmacy Comments
Contract Details
Approval Date
4/9/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Spencer Lowell Cummings, President
(910) 862-5149
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/9/2025
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