340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MARYLAND CVS PHARMACY, L.L.C.
CHC26633-00 Owensville Primary Care, Inc.
Print
Covered Entity Details
Entity Name
Owensville Primary Care, Inc.
Subdivision Name
OPC Shady Side V1
Type
HRSA-Funded Health Center
340B ID
CHC26633-00
Entity Address
6131 Shady Side Rd
Shady Side, MD 20764-9504
Grant Number
H80CS26633
Participating Start Date
10/1/2022
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
MARYLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01454
1910 CRAIN HIGHWAY
BOWIE, MD 20716
Pharmacy Comments
Contract Details
Approval Date
8/25/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Juanita M Tryon, Chief Executive Officer
(443) 607-1438
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/16/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session