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VERMONT CVS PHARMACY, L.L.C.
SCH470005-00 RUTLAND REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
RUTLAND REGIONAL MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH470005-00
Entity Address
160 ALLEN STREET
RUTLAND, VT 05701
Medicare Provider Number
470005
Participating Start Date
9/30/2010
Last Recertification Date
8/24/2015
Entity Termination Date
7/1/2016
Pharmacy Details
Pharmacy Name
VERMONT CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00673
31 S MAIN ST
RUTLAND, VT 05701-5041
Pharmacy Comments
Contract Details
Approval Date
1/3/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2016
Covered Entity Terminated
Contacts
Covered Entity Signing Official
EDWARD OGORZALEK, CFO
(802) 747-1610
Contract Pharmacy Representative
John R. Zevzavadjian, Vice President, Managed Care
(401) 770-5503
Signed By Date
1/3/2014
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