Contract Pharmacy Details

CAREMARK, L.L.C.
RWII235101 CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

Fort Tar

Type

Ryan White Part B

340B ID

RWII235101

Entity Address

1001 Monticello Ave
Suite 100
Norfolk, VA 23510

Grant Number

X07HA00009

Participating Start Date

7/1/2019

Last Recertification Date

2/26/2023

Entity Termination Date

7/1/2023

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

7/25/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2023
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127

Contract Pharmacy Representative

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

Signed By Date

7/25/2021

340B Drug Pricing Program Database