340B Drug Pricing Program Database

Pharmacy Name

GRAND ST. PAUL CVS, L.L.C.

Pharmacy Address

DBA CVS/PHARMACY #10756
2312 BEMIDJI AVE. N
BEMIDJI, MN 56601

Pharmacy Comments

Approval Date

10/12/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

CRAIG O. BOYER, Vice President of Finance
(218) 333-5508

Contract Pharmacy Representative

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

Signed By Date

10/12/2018