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NORTH CAROLINA CVS PHARMACY, L.L.C.
CAH341329-00 BLUE RIDGE REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
BLUE RIDGE REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH341329-00
Entity Address
125 HOSPITAL DRIVE
SPRUCE PINE, NC 28777
Medicare Provider Number
341329
Participating Start Date
4/1/2015
Last Recertification Date
9/7/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07574
12121 S. 226 HWY
SPRUCE PINE, NC 28777
Pharmacy Comments
Contract Details
Approval Date
3/10/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Clint Stewart, Regional Director, Finance
(828) 659-5196
Contract Pharmacy Representative
Scott Tierney, Senior Director Payer Relations
(401) 770-2762
Signed By Date
3/10/2015
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