340B Drug Pricing Program Database

Pharmacy Name

CVS ALBANY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 06048
1933 VICTORY BLVD.
STATEN ISLAND, NY 10314

Pharmacy Comments

Approval Date

4/15/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

DAVID H. KIM, EXECUTIVE DIRECTOR
(718) 815-6560

Contract Pharmacy Representative

Wellpartner
Nicole Bennett-Denson, Senior Consultant
(856) 398-3623

Signed By Date

4/15/2022