340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PENNSYLVANIA CVS PHARMACY, L.L.C.
HV152132 UPMC PRESBYTERIAN SHADYSIDE
Print
Covered Entity Details
Entity Name
UPMC PRESBYTERIAN SHADYSIDE
Subdivision Name
Pittsburgh Area Center for Treatment (PACT)
Type
Ryan White Part C
340B ID
HV152132
Entity Address
200 LOTHROP STREET
PITTSBURGH, PA 15213
Grant Number
H76HA25775
Participating Start Date
10/1/2000
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04003
311 5TH AVE
MCKEESPORT, PA 15132
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jared Weiner, CFO, UPMC Presbyterian Shadyside
(412) 864-7000
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/15/2021
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