340B Drug Pricing Program Database

Pharmacy Name

WOODWARD DETROIT CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 08034
21911 WEST ELEVEN MILE RD.
SOUTHFIELD, MI 48076

Pharmacy Comments

Approval Date

2/15/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

James Connelly, CFO
(313) 876-8714

Contract Pharmacy Representative

CVS
Scott Tierney, Senior Director, Payer Relations
(401) 770-2762

Signed By Date

1/7/2013