340B Drug Pricing Program Database
CVS ALBANY, L.L.C.
CH020110 WHITNEY M. YOUNG, JR., HEALTH CENTER, INC. - information as of 4/25/2025 9:33:24 PM
Covered Entity Details
Entity Name
WHITNEY M. YOUNG, JR., HEALTH CENTER, INC.
Subdivision Name
WHITNEY M. YOUNG, JR. HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH020110
Entity Address
920 Lark Dr
Albany, NY 12207-1300
Grant Number
H80CS00433
Participating Start Date
10/1/1995
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
CVS ALBANY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01895
2040 WESTERN AVENUE, ROUTE 155
ALBANY, NY 12203
Pharmacy Comments
Contract Details
Approval Date
4/12/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David H. Shippee, President & CEO
(518) 591-4459
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/12/2019
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