Contract Pharmacy Details

CAREMARK, L.L.C.
DSH190046 TOURO INFIRMARY

Covered Entity Details

Entity Name

TOURO INFIRMARY

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH190046

Entity Address

1401 FOUCHER STREET
NEW ORLEANS, LA 70115

Medicare Provider Number

190046

Participating Start Date

4/1/2006

Last Recertification Date

9/5/2024

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

7/13/2022

Contract Begin Date

10/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Stephen Matthew Baldwin, Chief Operating Officer
(504) 897-8566

Contract Pharmacy Representative

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

Signed By Date

7/13/2022

340B Drug Pricing Program Database