340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

CAREMARK TENNESSEE SPECIALTY PHARMACY, L
CAH051333-00 Ridgecrest Regional Hospital

Covered Entity Details

Critical Access Hospital
CAH051333-00
1081 N. China Lake Blvd.
Ridgecrest, CA 93555
051333
10/1/2013
8/15/2024


Pharmacy Details

DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
8370 WOLF LAKE DRIVE
SUITE 107
BARTLETT, TN 38133

Contract Details

4/9/2021
4/19/2021

4/26/2022
Business decision by covered entity and/or pharmacy


Contacts


James Suver, CEO
(760) 499-3902



CVS Health
Christian J Reid, Sr. Director, 340B
(401) 770-2118
4/9/2021