340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

CAREMARK MICHIGAN SPECIALTY PHARMACY, LL
CAH031312-00 Bisbee Hospital Association dba Copper Queen Community Hospital

Covered Entity Details

Critical Access Hospital
CAH031312-00
101 Cole Ave
Bisbee, AZ 85603
031312
4/1/2013
8/26/2024


Pharmacy Details

DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
1307 ALLEN DR STE H
TROY, MI 48083

Contract Details

10/2/2020
1/1/2021


Contacts


Heather A Lundstrom, Chief Financial Officer
(520) 432-6450



CVS Health
Christian J Reid, Sr. Director, 340B
(401) 770-2118
10/2/2020