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PENNSYLVANIA CVS PHARMACY, L.L.C.
CH031839C Esperanza Health Center, Inc.
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Covered Entity Details
Entity Name
Esperanza Health Center, Inc.
Subdivision Name
Esperanza Health Center
Type
HRSA-Funded Health Center
340B ID
CH031839C
Entity Address
4417 N 6th St
Philadelphia, PA 19140-2319
Grant Number
H80CS06644
Participating Start Date
10/1/2011
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #11356
3401 ARAMINGO AVENUE
PHILADELPHIA, PA 19134
Pharmacy Comments
Contract Details
Approval Date
3/27/2023
Contract Begin Date
3/30/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Juan Perez, COO
(215) 807-8616
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
3/27/2023
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