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MARYLAND CVS PHARMACY, L.L.C.
PED093300-00 Children's National Medical Center
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Covered Entity Details
Entity Name
Children's National Medical Center
Subdivision Name
Type
Children's Hospital
340B ID
PED093300-00
Entity Address
111 Michigan Avenue, NW
Washington, DC 20010-2970
Medicare Provider Number
093300
Participating Start Date
10/1/2012
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
MARYLAND CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01449
7955 TUCKERMAN LANE
ROCKVILLE, MD 20854
Pharmacy Comments
Contract Details
Approval Date
5/17/2023
Contract Begin Date
6/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kathleen Gorman, EVP, Patient Care services & Chief Operating Officer
(202) 476-2939
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
5/17/2023
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