340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC
CHC29048-00 BEHAVIORAL HEALTH SERVICES INC
Print
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
CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC
Pharmacy Address
DBA CVS/CAREMARK 48067
1780 WALL ST
MT PROSPECT, IL 60056
Pharmacy Comments
Contract Details
Approval Date
10/5/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/12/2021
Business decision by covered entity and/or pharmacy
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
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session