Contract Pharmacy Details

NEW JERSEY CVS PHARMACY, L.L.C.
HV032130 LEHIGH VALLEY HOSPITAL

Covered Entity Details

Entity Name

LEHIGH VALLEY HOSPITAL

Subdivision Name

Type

Ryan White Part C

340B ID

HV032130

Entity Address

1627 Chew Street, Third Floor
Allentown, PA 18102

Grant Number

6 H76HA00078-33-04

Participating Start Date

4/1/1996

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

NEW JERSEY CVS PHARMACY, L.L.C.

Pharmacy Address

DBA CVS/PHARMACY #10766
750 MEMORIAL PARKWAY
PHILLIPSBURG, NJ 08865

Pharmacy Comments

Contract Details

Approval Date

4/11/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Thomas Marchozzi, Executive Vice President & Chief Financial Officer
(484) 862-3943

Contract Pharmacy Representative

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

Signed By Date

4/11/2024

340B Drug Pricing Program Database