340B Drug Pricing Program Database

Pharmacy Name

OHIO CVS STORES, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 04810
1208 MAPLE AVENUE
ZANESVILLE, OH 43701

Pharmacy Comments

Approval Date

1/14/2019

Contract Begin Date

4/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Michael Norman, Chief Financial Officer
(740) 454-4773

Contract Pharmacy Representative

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

Signed By Date

1/14/2019