340B Drug Pricing Program Database

Pharmacy Name

ARIZONA CVS STORES, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09202
4742 E. INDIAN SCHOOL
PHOENIX, AZ 85018

Pharmacy Comments

Approval Date

6/5/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Randy S Gelow, Owner/Medical Doctor
(602) 669-2585

Contract Pharmacy Representative

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

Signed By Date

4/5/2024