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MARYLAND CVS PHARMACY, L.L.C.
HV200201 FAMILY AND MEDICAL COUNSELING
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Covered Entity Details
Entity Name
FAMILY AND MEDICAL COUNSELING
Subdivision Name
Type
Ryan White Part C
340B ID
HV200201
Entity Address
2041 M.L. KING, JR AVE SE
SUITE 303
WASHINGTON, DC 20020
Grant Number
H76HA00178
Participating Start Date
7/1/2014
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
MARYLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #3047
8601 MARTIN LUTHER KING JR HIGHWAY
LANHAM, MD 20706
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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