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CAREMARK, L.L.C.
STD770572 AIDS Foundation Houston, Inc. DBA/ Allies in Hope
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Covered Entity Details
Entity Name
AIDS Foundation Houston, Inc. DBA/ Allies in Hope
Subdivision Name
Westpark
Type
Sexually Transmitted Diseases
340B ID
STD770572
Entity Address
6260 Westpark Drive
100
Houston, TX 77057
Grant Number
5 NU62PS9246850400
Participating Start Date
7/1/2019
Last Recertification Date
5/28/2024
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
4/5/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nicholas Williams, CFO
(713) 623-6796 Ext: 285
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/5/2021
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