Contract Pharmacy Details

CVS PHARMACY, INC.
RWI78754 The Wright House Wellness Center DBA ASHWELL

Covered Entity Details

Entity Name

The Wright House Wellness Center DBA ASHWELL

Subdivision Name

Type

Ryan White Part A

340B ID

RWI78754

Entity Address

3100 Red River St.
STE 3
Austin, TX 78705

Grant Number

H89HA00036-31-00

Participating Start Date

7/1/2018

Last Recertification Date

3/6/2025

Pharmacy Details

Pharmacy Name

CVS PHARMACY, INC.

Pharmacy Address

DBA: CVS/PHARMACY # 07442
11300 N LAMAR BLVD
AUSTIN, TX 78753

Pharmacy Comments

Contract Details

Approval Date

7/16/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Lauren Potter, Executive Director
(512) 467-0088

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

7/16/2018

340B Drug Pricing Program Database