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REDDY'S PHARMACY
CH03715D RICHMOND, CITY OF
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Covered Entity Details
Entity Name
RICHMOND, CITY OF
Subdivision Name
Northside Medical Center
Type
HRSA-Funded Health Center
340B ID
CH03715D
Entity Address
2809 North Ave STE 206
Richmond, VA 23222
Grant Number
H80CS00174
Participating Start Date
4/1/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
REDDY'S PHARMACY
Pharmacy Address
2809 NORTH AVENUE
SUITE 103
RICHMOND, VA 23222
Pharmacy Comments
Contract Details
Approval Date
4/1/2008
Contract Begin Date
4/1/2008
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/22/2016
Pharmacy closed
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/5/2008
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