340B Drug Pricing Program Database
CVS CAREMARK
CHC12846-00 Purdue University - information as of 6/7/2025 6:10:06 AM
Covered Entity Details
Entity Name
Purdue University
Subdivision Name
Family Health Clinic of Carroll County
Type
HRSA-Funded Health Center
340B ID
CHC12846-00
Entity Address
901 Prince William Rd Ste A
Delphi, IN 46923-1759
Grant Number
H80CS12846
Participating Start Date
1/1/2024
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
CVS CAREMARK
Pharmacy Address
DBA CVS/CAREMARK OR CF# 11506
1 GREAT VALLEY BOULEVARD
WILKES BARRE, PA 18706
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sherri Gehlhausen, Director of Revenue Cycle
(765) 564-3016
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/15/2025
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