Contract Pharmacy Details

PENNSYLVANIA CVS PHARMACY, L.L.C.
CH03362A Lancaster Health Center

Covered Entity Details

Entity Name

Lancaster Health Center

Subdivision Name

Lancaster Health Center - Bright Side

Type

HRSA-Funded Health Center

340B ID

CH03362A

Entity Address

515B HERSHEY AVE
LANCASTER, PA 17603-5752

Grant Number

H80CS00686

Participating Start Date

4/1/2009

Last Recertification Date

2/4/2021

Entity Termination Date

7/1/2021

Pharmacy Details

Pharmacy Name

PENNSYLVANIA CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 01663
706 WEST MAIN STREET
NEW HOLLAND, PA 17557

Pharmacy Comments

Contract Details

Approval Date

10/9/2019

Contract Begin Date

1/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2021
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Alisa Jones, President and CEO
(717) 945-1551

Contract Pharmacy Representative

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

Signed By Date

10/9/2019

340B Drug Pricing Program Database