340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAREMARK ILLINOIS SPECIALTY PHARMACY, LL
FQHCLA407M Metropolitan Charities, Inc.
Print
Covered Entity Details
Entity Name
Metropolitan Charities, Inc.
Subdivision Name
METRO South St. Pete
Type
Health Center Program Look-Alike
340B ID
FQHCLA407M
Entity Address
2116 34th St S
Saint Petersburg, FL 33711-3224
Grant Number
LALCS35348
Participating Start Date
12/21/2023
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
CAREMARK ILLINOIS SPECIALTY PHARMACY, LL
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
800 BIERMANN CT STE B
MOUNT PROSPECT, IL 60056
Pharmacy Comments
Contract Details
Approval Date
12/28/2023
Contract Begin Date
12/28/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Priya Rajkumar, Chief Executive Officer
(727) 321-3854 Ext: 1230
Contract Pharmacy Representative
CVS
Walter Jury, Account Manager
(315) 271-5312
Signed By Date
12/28/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session