Contract Pharmacy Details

CAREMARK, L.L.C.
STD331612 Latinos Salud, Inc.

Covered Entity Details

Entity Name

Latinos Salud, Inc.

Subdivision Name

North Miami

Type

Sexually Transmitted Diseases

340B ID

STD331612

Entity Address

640 NE 124th Street
North Miami, FL 33161

Grant Number

5 NU62PS924749-02-00

Participating Start Date

1/1/2023

Last Recertification Date

5/6/2024

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

11/28/2022

Contract Begin Date

1/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Stephen Fallon, PhD, Executive Director
(786) 310-3152

Contract Pharmacy Representative

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

Signed By Date

10/5/2022

340B Drug Pricing Program Database