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CAREMARK, L.L.C.
STD27604 Alliance of AIDS Services-Carolina
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Covered Entity Details
Entity Name
Alliance of AIDS Services-Carolina
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD27604
Entity Address
4 North Blount Street
100
Raleigh, NC 27601
Grant Number
6NH25PS005152-05-07
Participating Start Date
10/1/2018
Last Recertification Date
5/7/2024
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
4/14/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Melissa J Haithcox-Dennis, 340-B support consultant
(919) 834-2734
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2021
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