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FORK UNION 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
FORK UNION PHARMACY
Pharmacy Address
4316-B JAMES MADISON HWY
FORK UNION, VA 23055
Pharmacy Comments
Contract Details
Approval Date
7/9/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Roderick Manifold, Executive Director
(434) 581-3271 Ext: 10700
Contract Pharmacy Representative
Dane Yonce, Owner
(434) 842-3208
Signed By Date
7/9/2013
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