Contract Pharmacy Details

DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C
FQHCLA414B METRO HEALTH, INC.

Covered Entity Details

Entity Name

METRO HEALTH, INC.

Subdivision Name

600 Pennsylvania Avenue, SE

Type

Health Center Program Look-Alike

340B ID

FQHCLA414B

Entity Address

600 Pennsylvania Avenue, SE # Unit #LL1
WASHINGTON, DC 20003-4316

Grant Number

LALCS39530

Participating Start Date

4/1/2024

Last Recertification Date

Entity Termination Date

4/1/2025

Pharmacy Details

Pharmacy Name

DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C

Pharmacy Address

DBA: CVS/PHARMACY # 01364
6514 GEORGIA AVENUE NW
WASHINGTON, DC 20012

Pharmacy Comments

Contract Details

Approval Date

1/12/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2025
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Duane Taylor, Interim CEO and COO
(202) 638-0750 Ext: 2027744595

Contract Pharmacy Representative

Caremark L.L.C.
Christian reid, 340b Program Director
(401) 770-2118

Signed By Date

1/12/2024

340B Drug Pricing Program Database