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PENNSYLVANIA CVS PHARMACY, L.L.C.
FQHCLA431F VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
Subdivision Name
Center for Women's Medicine
Type
Health Center Program Look-Alike
340B ID
FQHCLA431F
Entity Address
1627 Chew St
STE CWM
Allentown, PA 18102
Grant Number
LALCS45056
Participating Start Date
1/1/2022
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00974
1601 W. LIBERTY STREET
ALLENTOWN, PA 18102
Pharmacy Comments
Contract Details
Approval Date
4/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Veronica Gonzalez, Chief Executive Officer
(610) 969-2728
Contract Pharmacy Representative
Caremark L.L.C.
Christian reid, 340b Program Director
(401) 770-2118
Signed By Date
4/17/2023
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