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CAREMARK, L.L.C.
CH010710 SOUTH COVE COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Subdivision Name
SOUTH STREET CLINIC
Type
HRSA-Funded Health Center
340B ID
CH010710
Entity Address
145 South St
Boston, MA 02111-2826
Grant Number
H80CS00600
Participating Start Date
7/1/2004
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CAREMARK, L.L.C.
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7251 S. EASTERN AVE.
LAS VEGAS, NV 89119
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ERIC TIBERI, CEO
(617) 521-6708
Contract Pharmacy Representative
CVS Health
Robert Hoffman, Account Manager
(845) 768-6635
Signed By Date
4/15/2024
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