Contract Pharmacy Details

CLARK'S PHARMACY INC
CH03070C CENTRAL VIRGINIA HEALTH SERVICES, INC.

Covered Entity Details

Entity Name

CENTRAL VIRGINIA HEALTH SERVICES, INC.

Subdivision Name

CVHS Farmville

Type

HRSA-Funded Health Center

340B ID

CH03070C

Entity Address

833 BUFFALO STREET STE 200
FARMVILLE, VA 23901

Grant Number

H80CS00479

Participating Start Date

7/1/1998

Last Recertification Date

2/28/2025

Pharmacy Details

Pharmacy Name

CLARK'S PHARMACY INC

Pharmacy Address

119-A NORTH MAIN ST
FARMVILLE, VA 23901

Pharmacy Comments

Contract Details

Approval Date

3/17/2011

Contract Begin Date

3/17/2011

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2021
Pharmacy closed

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

3/1/2011

340B Drug Pricing Program Database