340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

CAREMARK NEW JERSEY SPECIALTY PHCY, LLC
CAH051337-00 HAZEL HAWKINS MEM. HOSPITAL

Covered Entity Details

Critical Access Hospital
CAH051337-00
911 SUNSET DRIVE
HOLLISTER, CA 95023
051337
10/1/2021
9/3/2024


Pharmacy Details

DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
180 PASSAIC AVE UNIT B-5
FAIRFIELD, NJ 07004

Contract Details

4/12/2024
7/1/2024


Contacts


MARK ROBINSON, CFO
(831) 636-2604



CVS Health
Christian J Reid, Sr. Director, 340B
(401) 770-2118
4/12/2024