340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MARYLAND CVS PHARMACY, L.L.C.
RWI20037 AIDS Healthcare Foundation
Print
Covered Entity Details
Entity Name
AIDS Healthcare Foundation
Subdivision Name
AHF Healthcare Center - Washington DC
Type
Ryan White Part A
340B ID
RWI20037
Entity Address
1701 K Street
4 Floor
WASHINGTON, DC 20037
Grant Number
H89HA00012
Participating Start Date
7/1/2011
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
MARYLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01472
3714 BRANCH AVE.
TEMPLE HILLS, MD 20748
Pharmacy Comments
Contract Details
Approval Date
1/14/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/14/2022
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