340B Drug Pricing Program Database

Pharmacy Name

OHIO CVS STORES, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 03333
3171 WEST BLVD.
CLEVELAND, OH 44111

Pharmacy Comments

Approval Date

1/14/2021

Contract Begin Date

4/1/2021

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Neil P. Smith, President - Fairview Hospital
(216) 476-4499

Contract Pharmacy Representative

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

Signed By Date

1/14/2021