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CAREMARK KANSAS SPECIALTY PHARMACY
CH091880 BAY CLINIC, INC.
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Covered Entity Details
Entity Name
BAY CLINIC, INC.
Subdivision Name
Hilo Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH091880
Entity Address
1178 Kinoole Street
Bldg. B
Hilo, HI 96720
Grant Number
H80CS00837
Participating Start Date
10/1/2004
Last Recertification Date
2/23/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
CAREMARK KANSAS SPECIALTY PHARMACY
Pharmacy Address
CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
11162 RENNER BLVD
LENEXA, KS 66219
Pharmacy Comments
Contract Details
Approval Date
4/8/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Christian Kimo Alameda, Chief Executive Officer
(808) 930-4083
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/8/2021
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