340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
VERMONT CVS PHARMACY, L.L.C.
SCH470024-00 Northwestern Medical Center, Inc.
Print
Covered Entity Details
Entity Name
Northwestern Medical Center, Inc.
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH470024-00
Entity Address
133 Fairfield Street
St. Albans, VT 05478
Medicare Provider Number
470024
Participating Start Date
1/1/2012
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
VERMONT CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01052
7 ESSEX WAY
ESSEX, VT 05452
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
8/27/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Deanna Orfanidis, Chief Nursing Officer
(802) 524-1068
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2021
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