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ALABAMA CVS PHARMACY, L.L.C.
CAH011305-00 St. Vincent's Blount
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Covered Entity Details
Entity Name
St. Vincent's Blount
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH011305-00
Entity Address
150 Gilbreath Drive
Oneonta, AL 35121
Medicare Provider Number
011305
Participating Start Date
1/1/2014
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
ALABAMA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04854
602 1ST AVENUE EAST
ONEONTA, AL 35121
Pharmacy Comments
Contract Details
Approval Date
1/5/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/20/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Evan Ray, President
(205) 274-3010
Contract Pharmacy Representative
Jeff Noone, Regional Director of Hospital and Payer Relations
(412) 660-1513
Signed By Date
1/5/2015
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