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NORTH CAROLINA CVS PHARMACY, L.L.C.
RWI282021 RAIN, Inc.
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Covered Entity Details
Entity Name
RAIN, Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI282021
Entity Address
601 E 5th Street
Suite # 470
Charlotte, NC 28202
Grant Number
H89HA11434
Participating Start Date
1/1/2015
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03185
1533 SOUTH BLVD
CHARLOTTE, NC 28203
Pharmacy Comments
Contract Details
Approval Date
4/12/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chelsea Alyssa Gulden, President & CEO
(704) 973-9811
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/12/2018
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