Contract Pharmacy Details

CVS CAREMARK
CH053300 HAMILTON COMMUNITY HEALTH NETWORK, INC.

Covered Entity Details

Entity Name

HAMILTON COMMUNITY HEALTH NETWORK, INC.

Subdivision Name

Hamilton Community Health Network, Inc. - New Main

Type

HRSA-Funded Health Center

340B ID

CH053300

Entity Address

2900 N. Saginaw
Flint, MI 48505-4452

Grant Number

H80CS00435

Participating Start Date

1/1/2000

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

CVS CAREMARK

Pharmacy Address

DBA CVS/CAREMARK OR CF# 11506
1 GREAT VALLEY BOULEVARD
WILKES BARRE, PA 18706

Pharmacy Comments

Contract Details

Approval Date

10/9/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

CLARENCE PIERCE, CEO
(810) 406-4951

Contract Pharmacy Representative

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

Signed By Date

10/9/2023

340B Drug Pricing Program Database