340B Drug Pricing Program Database

Pharmacy Name

PENNSYLVANIA CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 00379
1424-26 CHESTNUT STREET
PHILADELPHIA, PA 19102

Pharmacy Comments

Approval Date

4/14/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/15/2022
Pharmacy closed

Covered Entity Signing Official

Andrew Nathans, Vice president Finance, TJUH Inc.
(215) 955-6599

Contract Pharmacy Representative

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

Signed By Date

4/14/2020