340B Drug Pricing Program Database
CAREMARK NEW JERSEY SPECIALTY PHCY, LLC
CH09365AM Clinicas del Camino Real, Inc. - information as of 4/27/2025 11:22:47 PM
Covered Entity Details
Entity Name
Clinicas del Camino Real, Inc.
Subdivision Name
Clinicas del Camino Real Inc - Newbury Park Optical
Type
HRSA-Funded Health Center
340B ID
CH09365AM
Entity Address
1000 Newbury Rd Ste 170
Newbury Park, CA 91320-6439
Grant Number
H80CS00550
Participating Start Date
4/1/2021
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
CAREMARK NEW JERSEY SPECIALTY PHCY, LLC
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
180 PASSAIC AVE UNIT B-5
FAIRFIELD, NJ 07004
Pharmacy Comments
Contract Details
Approval Date
7/13/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Streeter, Chief Medical Officer
(805) 659-1740
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/13/2023
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