340B Drug Pricing Program Database

Pharmacy Name

WOODWARD DETROIT CVS, L.L.C.

Pharmacy Address

DBA CVS/PHARMACY # 10790
111 NORTH MAIN STREET
FRANKENMUTH, MI 48734

Pharmacy Comments

Approval Date

7/27/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/3/2022
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Tara Soules, Chief Financial Officer
(989) 772-6818

Contract Pharmacy Representative

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

Signed By Date

7/15/2021