340B Drug Pricing Program Database

Pharmacy Name

MARYLAND CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 04102
220 NORTH 3RD ST.
OAKLAND, MD 21550

Pharmacy Comments

Approval Date

7/17/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Lori Dixon, Senior Director of Finance
(301) 533-4251

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

7/17/2023