Contract Pharmacy Details

CAREMARK, L.L.C.
STD333054 Latinos Salud, Inc.

Covered Entity Details

Entity Name

Latinos Salud, Inc.

Subdivision Name

Medical Mobile Unit Broward

Type

Sexually Transmitted Diseases

340B ID

STD333054

Entity Address

1401 NE 26th Street
Wilton Manors, FL 33305-1321

Grant Number

2 NU62PS924749-02-00

Participating Start Date

4/17/2020

Last Recertification Date

5/6/2024

Pharmacy Details

Pharmacy Name

CAREMARK, L.L.C.

Pharmacy Address

DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7251 S. EASTERN AVE.
LAS VEGAS, NV 89119

Pharmacy Comments

Contract Details

Approval Date

7/8/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Stephen Fallon, PhD, Executive Director
(786) 310-3152

Contract Pharmacy Representative

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

Signed By Date

7/8/2020

340B Drug Pricing Program Database