340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAREMARK NORTH CAROLINA SPECIALTY PHARMA
CHC25680-16 PORTLAND COMMUNITY HEALTH CENTER
Print
Covered Entity Details
Entity Name
PORTLAND COMMUNITY HEALTH CENTER
Subdivision Name
Greater Portland Health at South Portland High School
Type
HRSA-Funded Health Center
340B ID
CHC25680-16
Entity Address
637 Highland Ave
South Portland, ME 04106-6425
Grant Number
H80CS25680
Participating Start Date
4/1/2023
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
CAREMARK NORTH CAROLINA SPECIALTY PHARMA
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
10700 WORLD TRADE BLVD STE 110
RALEIGH, NC 27617
Pharmacy Comments
Contract Details
Approval Date
5/4/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ann Tucker, Chief Executive Officer
(207) 874-2141 Ext: 3886
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
5/4/2023
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