340B Drug Pricing Program Database
CVS PHARMACY, INC.
RWII78759A Texas Health Action - information as of 6/6/2025 12:53:34 PM
Covered Entity Details
Entity Name
Texas Health Action
Subdivision Name
Type
Ryan White Part B
340B ID
RWII78759A
Entity Address
2800 S. IH-35
Austin, TX 78704
Grant Number
X07 - HA00054
Participating Start Date
10/1/2019
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 06777
4207 LEMMON AVE.
DALLAS, TX 75219
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
Chris Adams, CFO
(512) 643-8770
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/15/2025
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