Contract Pharmacy Details

CAREMARK, L.L.C.
CHC39465-01 CATHERINE'S HEALTH CENTER

Covered Entity Details

Entity Name

CATHERINE'S HEALTH CENTER

Subdivision Name

Catherine's Health Center - Dental Clinic

Type

HRSA-Funded Health Center

340B ID

CHC39465-01

Entity Address

781 36th St SE
Suite B
Grand Rapids, MI 49548-2319

Grant Number

H80CS39465

Participating Start Date

1/31/2022

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

CAREMARK, L.L.C.

Pharmacy Address

DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7251 S. EASTERN AVE.
LAS VEGAS, NV 89119

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

Sara R Brooks, Director of Operations
(616) 336-8800

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