Contract Pharmacy Details

CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC
RWI33133 AIDS HEALTHCARE FOUNDATION

Covered Entity Details

Entity Name

AIDS HEALTHCARE FOUNDATION

Subdivision Name

AHF Healthcare Center- Coconut Grove

Type

Ryan White Part A

340B ID

RWI33133

Entity Address

3661 S. MIAMI AVENUE, SUITE 806
MIAMI, FL 33133

Grant Number

H89HA00005

Participating Start Date

10/1/2013

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC

Pharmacy Address

DBA CVS/CAREMARK 48067
1780 WALL ST
MT PROSPECT, IL 60056

Pharmacy Comments

Contract Details

Approval Date

1/17/2023

Contract Begin Date

4/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022

Contract Pharmacy Representative

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

Signed By Date

1/17/2023

340B Drug Pricing Program Database