Contract Pharmacy Details

CVS PHARMACY, INC.
HV06021B VALLEY AIDS COUNCIL

Covered Entity Details

Entity Name

VALLEY AIDS COUNCIL

Subdivision Name

Type

Ryan White Part C

340B ID

HV06021B

Entity Address

300 S. 2nd St
SUITE C
MCALLEN, TX 78501

Grant Number

H76HA00131

Participating Start Date

7/1/2009

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

CVS PHARMACY, INC.

Pharmacy Address

DBA: CVS/PHARMACY # 07220
1627 WILDCAT DR
PORTLAND, TX 78374

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

Wally Cantu, Executive Director
(956) 428-2653

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

4/14/2021

340B Drug Pricing Program Database