Contract Pharmacy Details

CVS ALBANY, L.L.C.
CH02049K William F. Ryan Community Health Center, Inc.

Covered Entity Details

Entity Name

William F. Ryan Community Health Center, Inc.

Subdivision Name

PS11: The William T Harris School

Type

HRSA-Funded Health Center

340B ID

CH02049K

Entity Address

320 W 21st St
New York, NY 10011-3303

Grant Number

H80CS00061

Participating Start Date

1/1/2024

Last Recertification Date

2/5/2024

Entity Termination Date

1/1/2025

Pharmacy Details

Pharmacy Name

CVS ALBANY, L.L.C.

Pharmacy Address

CVS/PHARMACY # 10235
800 10TH AVE.
NEW YORK, NY 10019

Pharmacy Comments

Contract Details

Approval Date

4/15/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2025
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Scott D. Morgan, Chief Financial Officer
(212) 769-7245

Contract Pharmacy Representative

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

Signed By Date

4/15/2024

340B Drug Pricing Program Database