340B Drug Pricing Program Database
VERMONT CVS PHARMACY, L.L.C.
CH01015A COMMUNITY HEALTH CENTERS OF BURLINGTON, INC. - information as of 4/25/2025 12:07:42 AM
Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF BURLINGTON, INC.
Subdivision Name
Pearl Street Youth Health Center
Type
HRSA-Funded Health Center
340B ID
CH01015A
Entity Address
179 PEARL ST
BURLINGTON, VT 05401-3704
Grant Number
H80CS00311
Participating Start Date
9/1/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
VERMONT CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 7103
49 WRIGHT AVE
WILLISTON, VT 05495-4419
Pharmacy Comments
Contract Details
Approval Date
4/10/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeffrey McKee, CEO
(802) 264-8190
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/10/2025
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