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CAREMARK, L.L.C.
CHC29048-00 BEHAVIORAL HEALTH SERVICES INC
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Covered Entity Details
Entity Name
BEHAVIORAL HEALTH SERVICES INC
Subdivision Name
Behavioral Health Services - Family Health Center
Type
HRSA-Funded Health Center
340B ID
CHC29048-00
Entity Address
2501 W. El Segundo Blvd. Suite B
Hawthorne, CA 90250
Grant Number
H80CS29048
Participating Start Date
10/1/2016
Last Recertification Date
2/24/2025
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
10/5/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shirley Summers, President/CEO
(310) 679-9126
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/5/2020
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