Contract Pharmacy Details

CVS ALBANY, L.L.C.
CHC29017-00 COMMUNITY HEALTH PROJECT, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH PROJECT, INC.

Subdivision Name

Callen-Lorde Bronx

Type

HRSA-Funded Health Center

340B ID

CHC29017-00

Entity Address

3144 3RD AVE
BRONX, NY 10451-4629

Grant Number

H80CS29017

Participating Start Date

10/1/2016

Last Recertification Date

2/28/2025

Pharmacy Details

Pharmacy Name

CVS ALBANY, L.L.C.

Pharmacy Address

DBA CVS/PHARMACY # 10298
241 WEST 57TH STREET
NEW YORK, NY 10019

Pharmacy Comments

Contract Details

Approval Date

7/15/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Wendy Stark, Executive Director
(212) 271-7147

Contract Pharmacy Representative

CVS Health
Brennan Manning, Pharmacy Enrollment Coordinator
(401) 701-6881

Signed By Date

7/15/2020

340B Drug Pricing Program Database