340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CVS PHARMACY, INC.
DSH450010 UNITED REGIONAL HEALTH CARE SYSTEM
Print
Covered Entity Details
Entity Name
UNITED REGIONAL HEALTH CARE SYSTEM
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450010
Entity Address
1600 ELEVENTH STREET
WICHITA FALLS, TX 76301
Medicare Provider Number
450010
Participating Start Date
1/1/2023
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
CVS/PHARMACY # 4880
805 W. BUSINESS HWY 380
DECATUR, TX 76234
Pharmacy Comments
Contract Details
Approval Date
10/24/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/15/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Robert M. Pert, Chief Financial Officer
(940) 764-3023
Contract Pharmacy Representative
CVS
Christian Reed, Sr. Director
(401) 770-2118
Signed By Date
10/10/2022
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