340B Drug Pricing Program Database
ALABAMA CVS PHARMACY, L.L.C.
DSH010033 UNIVERSITY OF ALABAMA HOSPITAL - information as of 5/27/2025 5:09:13 PM
Covered Entity Details
Entity Name
UNIVERSITY OF ALABAMA HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010033
Entity Address
619 S. 19th Street
BIRMINGHAM, AL 35249
Medicare Provider Number
010033
Participating Start Date
12/1/1992
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
ALABAMA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04833
205 FIELDSTOWN ROAD
GARDENDALE, AL 35071
Pharmacy Comments
Contract Details
Approval Date
4/6/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
WILL FERNIANY, CEO, UAB HEALTH SYSTEM
(205) 975-4844
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/6/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session