340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MARYLAND CVS PHARMACY, L.L.C.
CH03682A LA CLINICA DEL PUEBLO, INC.
Print
Covered Entity Details
Entity Name
LA CLINICA DEL PUEBLO, INC.
Subdivision Name
La Clinica del Pueblo - Hyattsville Site
Type
HRSA-Funded Health Center
340B ID
CH03682A
Entity Address
2970 Belcrest Center Drive, Suite #301
Hyattsville, MD 20782-2078
Grant Number
H80CS08244
Participating Start Date
4/1/2017
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
MARYLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01790
15100 BALTIMORE AVE.
LAUREL, MD 20707
Pharmacy Comments
Contract Details
Approval Date
1/10/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/15/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Catalina Sol, Executive Director
(202) 448-2810
Contract Pharmacy Representative
Wellpartner
Luis Vargas, Account Manager
(401) 772-7341
Signed By Date
1/10/2020
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