340B Drug Pricing Program Database
CVS PHARMACY, INC.
CH011890 Charles River Community Health at 495 Western Ave - information as of 4/26/2025 11:52:54 PM
Covered Entity Details
Entity Name
Charles River Community Health at 495 Western Ave
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH011890
Entity Address
495 Western Avenue
Brighton, MA 02135
Grant Number
H80CS00378
Participating Start Date
4/1/2004
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 03890
207 MARKET STREET
BRIGHTON, MA 02135
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
Matthew L. Mullaney, Chief Executive Officer
(781) 400-6221
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/10/2025
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