Contract Pharmacy Details

CVS PHARMACY, INC.
FP785503 Valley AIDS Council

Covered Entity Details

Entity Name

Valley AIDS Council

Subdivision Name

Type

Family Planning (Title X only)

340B ID

FP785503

Entity Address

2306 Camelot Plaza Circle
Harlingen, TX 78550

Grant Number

FPHPA006401

Participating Start Date

4/1/2020

Last Recertification Date

5/8/2024

Pharmacy Details

Pharmacy Name

CVS PHARMACY, INC.

Pharmacy Address

CVS PHARMACY # 17234
301 E MORRISON RD
BROWNSVILLE, TX 78526

Pharmacy Comments

Contract Details

Approval Date

4/15/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Wally Cantu, Executive Director
(956) 428-2653

Contract Pharmacy Representative

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

Signed By Date

4/15/2020

340B Drug Pricing Program Database