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WAL-MART PHARMACY 10-5997
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
WAL-MART PHARMACY 10-5997
Pharmacy Address
9600 PARKSOUTH CT. SUITE 100
ORLANDO, FL 32837
Pharmacy Comments
Contract Details
Approval Date
7/27/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paula A. Tomko, Chief Executive Officer
(434) 581-3276
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
7/27/2017
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