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NORTH CAROLINA CVS PHARMACY, L.L.C.
DSH340061 UNC Hospitals
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Covered Entity Details
Entity Name
UNC Hospitals
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH340061
Entity Address
101 MANNING DR.
CHAPEL HILL, NC 27514
Medicare Provider Number
340061
Participating Start Date
12/1/1992
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
CVS PHARMACY # 17157
8210 RENAISSANCE PKWY
DURHAM, NC 27713
Pharmacy Comments
Contract Details
Approval Date
10/14/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/14/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Christopher Ellington, CFO
(984) 974-4225
Contract Pharmacy Representative
CVS
Jeff Noone, Director
(412) 660-1513
Signed By Date
10/14/2016
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