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RITE AID OF VIRGINIA, INC.
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
RITE AID OF VIRGINIA, INC.
Pharmacy Address
RITE AID #3772
4671 RICHMOND ROAD
P.O. BOX 1298
WARSAW, VA 22572
Pharmacy Comments
Contract Details
Approval Date
10/1/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/17/2017
Ownership change
Contacts
Covered Entity Signing Official
Roderick Manifold, Executive Director
(434) 581-3271 Ext: 10700
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
10/1/2014
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