340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OHIO CVS STORES, L.L.C.
RWI48216 Health Emergency Lifeline Program
Print
Covered Entity Details
Entity Name
Health Emergency Lifeline Program
Subdivision Name
Type
Ryan White Part A
340B ID
RWI48216
Entity Address
1726 Howard St
Detroit, MI 48216
Grant Number
H89HA00021
Participating Start Date
1/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
OHIO CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06126
371 LUDLOW AVE.
CINCINNATI, OH 45220
Pharmacy Comments
Contract Details
Approval Date
1/13/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anthony Williams, Chief Executive Officer
(313) 832-3300 Ext: 215
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/13/2022
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