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CAREMARK, L.L.C.
CH078030 EAST CENTRAL DISTRICT HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
EAST CENTRAL DISTRICT HEALTH DEPARTMENT
Subdivision Name
East Central District Health Department/Good Neighbor Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH078030
Entity Address
4321 41st Ave
COLUMBUS, NE 68601-2131
Grant Number
H80CS00862
Participating Start Date
4/1/2004
Last Recertification Date
2/10/2025
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
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Terri Ford-Wolfgram, CEO
(402) 562-7500 Ext: 210
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/16/2023
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