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HILL CITY PHARMACY INCORPORATED
FQHCLA350 COMMUNITY ACCESS NETWORK, INC.
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Covered Entity Details
Entity Name
COMMUNITY ACCESS NETWORK, INC.
Subdivision Name
Park View
Type
Health Center Program Look-Alike
340B ID
FQHCLA350
Entity Address
2420 Memorial Ave
Lynchburg, VA 24501
Grant Number
LALCS31106
Participating Start Date
10/1/2017
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
HILL CITY PHARMACY INCORPORATED
Pharmacy Address
800 5TH ST STE B
LYNCHBURG, VA 24504-2848
Pharmacy Comments
Contract Details
Approval Date
12/27/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christina Delzingaro, CEO
(434) 200-3366
Contract Pharmacy Representative
Hill City Pharmacy
Bryan Moody, Owner
(434) 237-2221
Signed By Date
12/27/2017
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