340B Drug Pricing Program Database
CVS PHARMACY, INC.
CAH451384-00 D.M. COGDELL MEMORIAL HOSPITAL - information as of 4/25/2025 9:26:12 PM
Covered Entity Details
Entity Name
D.M. COGDELL MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451384-00
Entity Address
1700 COGDELL BLVD
SNYDER, TX 79549
Medicare Provider Number
451384
Participating Start Date
10/1/2016
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 06969
3611 COLLEGE AVE.
SNYDER, TX 79549
Pharmacy Comments
Contract Details
Approval Date
7/16/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John H. Everett, COO
(325) 574-7439
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/16/2018
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