340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C
CH03682D LA CLINICA DEL PUEBLO, INC
Print
Covered Entity Details
Entity Name
LA CLINICA DEL PUEBLO, INC
Subdivision Name
Bond Mill Elementary School
Type
HRSA-Funded Health Center
340B ID
CH03682D
Entity Address
16001 Sherwood Avenue
Laurel, MD 20707-5437
Grant Number
H80CS08244
Participating Start Date
7/1/2024
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C
Pharmacy Address
DBA: CVS/PHARMACY # 01365
1637 P STREET NW
WASHINGTON, DC 20036
Pharmacy Comments
Contract Details
Approval Date
5/24/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carlos Plazas, CFO/COO
(202) 464-0141
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
5/24/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session