Contract Pharmacy Details

CAREMARK, L.L.C.
DSH050039 ENLOE MEDICAL CENTER

Covered Entity Details

Entity Name

ENLOE MEDICAL CENTER

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH050039

Entity Address

1531 ESPLANADE
CHICO, CA 95926

Medicare Provider Number

050039

Participating Start Date

1/1/2017

Last Recertification Date

9/3/2024

Pharmacy Details

Pharmacy Name

CAREMARK, L.L.C.

Pharmacy Address

DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7251 S. EASTERN AVE.
LAS VEGAS, NV 89119

Pharmacy Comments

Contract Details

Approval Date

4/18/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Kevin Woodward, VP/Chief Financial Officer
(530) 332-6733

Contract Pharmacy Representative

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

Signed By Date

4/18/2022

340B Drug Pricing Program Database