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CYRUS KIRKPATRICK PHARMACY
CH030700 CENTRAL VIRGINIA HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
CENTRAL VIRGINIA HEALTH SERVICES, INC.
Subdivision Name
CVHS Buckingham
Type
HRSA-Funded Health Center
340B ID
CH030700
Entity Address
25892 N James Madison Hwy
New Canton, VA 23123-2234
Grant Number
H80CS00479
Participating Start Date
7/1/1995
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
CYRUS KIRKPATRICK PHARMACY
Pharmacy Address
518 S. SYCAMORE ST
PETERSBURG, VA 23803
Pharmacy Comments
Contract Details
Approval Date
3/24/2011
Contract Begin Date
3/24/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/22/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
10/14/2010
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