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CAREMARK, L.L.C.
STD40504 AVOL Kentucky
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Covered Entity Details
Entity Name
AVOL Kentucky
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD40504
Entity Address
1824 Hill Rise Drive
Suite 100
Lexington, KY 40504
Grant Number
NU62PS924846
Participating Start Date
1/1/2021
Last Recertification Date
5/15/2024
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
10/4/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/8/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jon M Parker, Executive Director
(859) 225-3000 Ext: 1026
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/4/2022
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