Contract Pharmacy Details

WOODWARD DETROIT CVS, L.L.C.
DSH230020 Oakwood Healthcare, Inc. d/b/a Corewell Health Dearborn Hospital

Covered Entity Details

Entity Name

Oakwood Healthcare, Inc. d/b/a Corewell Health Dearborn Hospital

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH230020

Entity Address

18101 OAKWOOD BOULEVARD
DEARBORN, MI 48124

Medicare Provider Number

230020

Participating Start Date

7/1/2006

Last Recertification Date

9/6/2024

Pharmacy Details

Pharmacy Name

WOODWARD DETROIT CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 08065
6501 N. WAYNE RD.
WESTLAND, MI 48185

Pharmacy Comments

Contract Details

Approval Date

7/16/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Carolyn Wilson, Chief Operating Officer
(947) 522-3338

Contract Pharmacy Representative

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

Signed By Date

7/16/2020

340B Drug Pricing Program Database