340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C
FQHCLA414 Metro Health Inc
Print
Covered Entity Details
Entity Name
Metro Health Inc
Subdivision Name
Metro Health Main Site
Type
Health Center Program Look-Alike
340B ID
FQHCLA414
Entity Address
1012 14th St NW Ste 700
Washington, DC 20005-3477
Grant Number
LALCS39530
Participating Start Date
1/1/2021
Last Recertification Date
1/30/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C
Pharmacy Address
DBA: CVS/PHARMACY # 02787
3642 GEORGIA AVE.
WASHINGTON, DC 20010
Pharmacy Comments
Contract Details
Approval Date
4/15/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Miguel McInnis, CEO
(202) 838-9271
Contract Pharmacy Representative
Caremark L.L.C.
Christian reid, 340b Program Director
(401) 770-2118
Signed By Date
4/15/2021
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session