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MARYLAND CVS PHARMACY, L.L.C.
CHC24175-00 FAMILY AND MEDICAL COUNSELING SERVICE, INC.
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Covered Entity Details
Entity Name
FAMILY AND MEDICAL COUNSELING SERVICE, INC.
Subdivision Name
Family and Medical Counseling Service, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC24175-00
Entity Address
2041 Martin Luther King Jr Ave SE
STE 303
Washington, DC 20020-7036
Grant Number
H80CS24175
Participating Start Date
7/1/2013
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
MARYLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01433
5922 MARTIN LUTHER KING JR. HGWY.
SEAT PLEASANT, MD 20743
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Flora Terrell Hamilton, CEO
(202) 889-7900 Ext: 217
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/17/2018
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