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CAREMARK, L.L.C.
STD327502 26Health, Inc.
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Covered Entity Details
Entity Name
26Health, Inc.
Subdivision Name
West Orange Nephrology, LLC
Type
Sexually Transmitted Diseases
340B ID
STD327502
Entity Address
587 E. State Road 434
1011
Longwood, FL 32750
Grant Number
1H25PS004342-02
Participating Start Date
1/1/2019
Last Recertification Date
5/9/2022
Entity Termination Date
7/1/2023
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
4/13/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
David Baker-Hargrove, President/Co-CEO
(321) 800-2922
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/13/2021
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