Contract Pharmacy Details

DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C
RWI20017 Heart to Hand Inc.

Covered Entity Details

Entity Name

Heart to Hand Inc.

Subdivision Name

Type

Ryan White Part A

340B ID

RWI20017

Entity Address

1160 Varnum Street NE, #16
Washington, DC 20017

Grant Number

H89HA00012

Participating Start Date

10/1/2019

Last Recertification Date

2/2/2023

Entity Termination Date

10/1/2023

Pharmacy Details

Pharmacy Name

DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C

Pharmacy Address

DBA: CVS/PHARMACY # 02104
5013 CONNECTICUT AVENUE NW
WASHINGTON, DC 20008

Pharmacy Comments

Contract Details

Approval Date

4/7/2022

Contract Begin Date

5/17/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/1/2023
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Dedra Spears Johnson, Executive Director
(301) 772-0103

Contract Pharmacy Representative

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

Signed By Date

4/7/2022

340B Drug Pricing Program Database