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NORTH CAROLINA CVS PHARMACY, L.L.C.
STD28216 Quality Home Care Services
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Covered Entity Details
Entity Name
Quality Home Care Services
Subdivision Name
DBA: Quality Comprehensive Health Center
Type
Sexually Transmitted Diseases
340B ID
STD28216
Entity Address
3607 Beatties Ford Road
Charlotte, NC 28216
Grant Number
6 NU62PS924655
Participating Start Date
7/1/2018
Last Recertification Date
5/12/2025
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07407
6110 THE PLAZA
CHARLOTTE, NC 28215
Pharmacy Comments
Contract Details
Approval Date
5/8/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/15/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lisa Wigfall, CEO
(980) 721-1573
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/2/2018
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