340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PENNSYLVANIA CVS PHARMACY, L.L.C.
DSH390133 LEHIGH VALLEY
Print
Covered Entity Details
Entity Name
LEHIGH VALLEY
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390133
Entity Address
1200 South Cedar Crest Boulevard
ALLENTOWN, PA 18103-4000
Medicare Provider Number
390133
Participating Start Date
1/1/2023
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05879
855 S. BROADWAY
WIND GAP, PA 18091
Pharmacy Comments
Contract Details
Approval Date
1/5/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
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
1/5/2023
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