Contract Pharmacy Details

CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC
CHC26604-00 NEIGHBORHOOD OUTREACH ACCESS TO HEALTH

Covered Entity Details

Entity Name

NEIGHBORHOOD OUTREACH ACCESS TO HEALTH

Subdivision Name

Heuser Family Health Center

Type

HRSA-Funded Health Center

340B ID

CHC26604-00

Entity Address

7301 E 2nd Street # 210
Scottsdale, AZ 85251

Grant Number

H80CS26604

Participating Start Date

7/1/2014

Last Recertification Date

2/2/2023

Entity Termination Date

7/1/2023

Pharmacy Details

Pharmacy Name

CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC

Pharmacy Address

DBA CVS/CAREMARK 48067
1780 WALL ST
MT PROSPECT, IL 60056

Pharmacy Comments

Contract Details

Approval Date

4/8/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Wendy Armendariz, Chief Executive Officer
(602) 786-0003

Contract Pharmacy Representative

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

Signed By Date

4/8/2022

340B Drug Pricing Program Database