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MARYLAND CVS PHARMACY, L.L.C.
CH031270 FAMILY HEALTH CENTERS OF BALTIMORE, INC.
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Covered Entity Details
Entity Name
FAMILY HEALTH CENTERS OF BALTIMORE, INC.
Subdivision Name
HEADQUARTERS
Type
HRSA-Funded Health Center
340B ID
CH031270
Entity Address
631 CHERRY HILL ROAD
BALTIMORE, MD 21225
Grant Number
H80CS00436
Participating Start Date
7/1/1996
Last Recertification Date
1/30/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
MARYLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04129
1000 TAYLOR AVE
TOWSON, MD 21286
Pharmacy Comments
Contract Details
Approval Date
10/13/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Winnie McCray, Chief Executive Officer
(410) 354-2000 Ext: 11233
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2021
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