340B Drug Pricing Program Database

Pharmacy Name

WISCONSIN CVS PHARMACY, L.L.C.

Pharmacy Address

DBA CVS/PHARMACY # 2933
3710 57TH AVE.
KENOSHA, WI 53144

Pharmacy Comments

Approval Date

6/25/2020

Contract Begin Date

6/26/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Gary Moss, Chief Financial Officer
(262) 764-3619

Contract Pharmacy Representative

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

Signed By Date

6/25/2020