340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MARYLAND CVS PHARMACY, L.L.C.
CH039840 WALNUT STREET COMMUNITY HEALTH CENTER
Print
Covered Entity Details
Entity Name
WALNUT STREET COMMUNITY HEALTH CENTER
Subdivision Name
Walnut Street Community Heath Center, Inc. DBA: FAMILY HEALTHCARE OF HAGERSTOWN
Type
HRSA-Funded Health Center
340B ID
CH039840
Entity Address
201 South Cleveland Avenue
HAGERSTOWN, MD 21740-4738
Grant Number
H80CS00857
Participating Start Date
10/1/2003
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
MARYLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04199
34 N. CANNON AVE.
HAGERSTOWN, MD 21740
Pharmacy Comments
Contract Details
Approval Date
1/4/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kimberly Z. Murdaugh, Executive Director
(301) 745-3777 Ext: 1079
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/4/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session