340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
NEW JERSEY CVS PHARMACY, L.L.C.
CH03122N North Penn Comprehensive Health Services
Print
Covered Entity Details
Entity Name
North Penn Comprehensive Health Services
Subdivision Name
North Penn Comprehensive Health Services, Laurel Health Counseling and Treatment Center and Administration
Type
HRSA-Funded Health Center
340B ID
CH03122N
Entity Address
40 W Wellsboro St
Mansfield, PA 16933-1411
Grant Number
H80CS00682
Participating Start Date
10/1/2021
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
NEW JERSEY CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 7961
524 MULLICA HILL RD
MULLICA HILL, NJ 08062
Pharmacy Comments
Contract Details
Approval Date
10/14/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ronald M Gilbert, CFO
(570) 828-3869
Contract Pharmacy Representative
CVS Pharmacies
Christian Reid, 340B Program Director
(401) 770-2118
Signed By Date
10/14/2021
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