Contract Pharmacy Details

CAREMARK, L.L.C.
RWI60613 Center on Halsted

Covered Entity Details

Entity Name

Center on Halsted

Subdivision Name

Center on Halsted

Type

Ryan White Part A

340B ID

RWI60613

Entity Address

3656 North Halsted Street
Chicago, IL 60613

Grant Number

H89HA00008

Participating Start Date

7/1/2022

Last Recertification Date

2/25/2025

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

Editha Paras, Interim Chief Executive Officer
(773) 472-6469

Contract Pharmacy Representative

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

Signed By Date

10/16/2023

340B Drug Pricing Program Database