340B Drug Pricing Program Database

Pharmacy Name

PENNSYLVANIA CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 02296
3295 PA ROUTE 100
MACUNGIE, PA 18062

Pharmacy Comments

Approval Date

11/17/2022

Contract Begin Date

1/1/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Thomas Marchozzi, Executive Vice President & Chief Financial Officer
(484) 862-3943

Contract Pharmacy Representative

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

Signed By Date

10/12/2022