Contract Pharmacy Details

CAREMARK, L.L.C.
RWI37206 Street Works, Inc

Covered Entity Details

Entity Name

Street Works, Inc

Subdivision Name

Type

Ryan White Part A

340B ID

RWI37206

Entity Address

1326 Rosa L. Parks Blvd. Ste. B
Nashville, TN 37208

Grant Number

H89HA11433

Participating Start Date

1/1/2014

Last Recertification Date

2/10/2025

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

7/15/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Sharon W Hurt, Executive Director
(615) 259-7676

Contract Pharmacy Representative

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

Signed By Date

7/15/2020

340B Drug Pricing Program Database