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WALGREEN CO.
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
WALGREEN CO.
Pharmacy Address
WALGREENS #17997
15748 KINGS HWY
PO BOX 429
MONTROSS, VA 22520
Pharmacy Comments
Contract Details
Approval Date
11/29/2017
Contract Begin Date
12/4/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paula A. Tomko, Chief Executive Officer
(434) 581-3276
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
11/29/2017
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