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CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC
CHC26608-01 COPPERTOWER FAMILY MEDICAL CENTER INC
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Covered Entity Details
Entity Name
COPPERTOWER FAMILY MEDICAL CENTER INC
Subdivision Name
Alexander Valley Dental Clinic
Type
HRSA-Funded Health Center
340B ID
CHC26608-01
Entity Address
100 W Third St.
Cloverdale, CA 95425-3204
Grant Number
H80CS26608
Participating Start Date
1/1/2015
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC
Pharmacy Address
DBA CVS/CAREMARK 48067
1780 WALL ST
MT PROSPECT, IL 60056
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
Deborah Howell, CEO
(707) 894-4229
Contract Pharmacy Representative
Wellpartner, a CVS Health Company
Alyssa Felton, Consultant, Account Manager
(480) 586-7265
Signed By Date
4/15/2024
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