Contract Pharmacy Details

CVS PHARMACY, INC.
CH020070 HENRY J. AUSTIN HEALTH CENTER INC

Covered Entity Details

Entity Name

HENRY J. AUSTIN HEALTH CENTER INC

Subdivision Name

Henry J. Austin Health Center - Warren

Type

HRSA-Funded Health Center

340B ID

CH020070

Entity Address

321 N Warren St.
Trenton, NJ 08618-4741

Grant Number

H80CS00531

Participating Start Date

12/1/1992

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

CVS PHARMACY, INC.

Pharmacy Address

DBA: CVS/PHARMACY # 05776
105 WONDERWORLD DRIVE
SAN MARCOS, TX 78666

Pharmacy Comments

Contract Details

Approval Date

10/15/2021

Contract Begin Date

1/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/27/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Kemi Alli, Chief Executive Officer
(609) 278-5909

Contract Pharmacy Representative

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

Signed By Date

10/15/2021

340B Drug Pricing Program Database