Contract Pharmacy Details

CVS PHARMACY, INC.
DSH450236 CHRISTUS Mother Frances Hospital-Sulphur Springs - CHRISTUS Hopkins Health Alliance

Covered Entity Details

Entity Name

CHRISTUS Mother Frances Hospital-Sulphur Springs - CHRISTUS Hopkins Health Alliance

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH450236

Entity Address

115 AIRPORT ROAD
SULPHUR SPRINGS, TX 75482

Medicare Provider Number

450236

Participating Start Date

1/1/2018

Last Recertification Date

8/16/2024

Pharmacy Details

Pharmacy Name

CVS PHARMACY, INC.

Pharmacy Address

DBA: CVS/PHARMACY # 07439
1101 GILMER ST.
SULPHUR SPRINGS, TX 75482

Pharmacy Comments

Contract Details

Approval Date

7/6/2022

Contract Begin Date

10/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Paul Harvey, CEO
(903) 439-4052

Contract Pharmacy Representative

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

Signed By Date

7/6/2022

340B Drug Pricing Program Database