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DILLWYN 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
DILLWYN PHARMACY
Pharmacy Address
1054 MAIN STREET
DILLWYN, VA 23936-0070
Pharmacy Comments
Contract Details
Approval Date
9/26/2012
Contract Begin Date
9/26/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/30/2023
Ownership change
Contacts
Covered Entity Signing Official
Roderick Manifold, Executive Director
(434) 581-3271 Ext: 10700
Contract Pharmacy Representative
Dillwyn Pharmacy
Roger Spivey, Pharmacist
(434) 983-2013
Signed By Date
8/7/2012
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