340B Drug Pricing Program Database

Pharmacy Name

CVS ALBANY, L.L.C.

Pharmacy Address

CVS/PHARMACY # 10904
812 FOREST AVE.
STATEN ISLAND, NY 10310

Pharmacy Comments

Approval Date

1/15/2019

Contract Begin Date

4/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

DAVID H. KIM, EXECUTIVE DIRECTOR
(718) 815-6560

Contract Pharmacy Representative

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

Signed By Date

1/15/2019