340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CONNECTICUT CVS PHARMACY, L.L.C.
DSH070024 THE WILLIAM W. BACKUS HOSPITAL
Print
Covered Entity Details
Entity Name
THE WILLIAM W. BACKUS HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH070024
Entity Address
326 WASHINGTON STREET
NORWICH, CT 06360
Medicare Provider Number
070024
Participating Start Date
3/13/2023
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
CONNECTICUT CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02109
22 WINDSOR AVE
VERNON ROCKVILLE, CT 06066
Pharmacy Comments
Contract Details
Approval Date
3/13/2023
Contract Begin Date
3/13/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anthony Mastroianni, Regional Vice President, Finance
(860) 889-8331 Ext: 2311
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
3/9/2023
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