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CAREMARK, L.L.C.
STD42078 Tri-Rivers Healthcare, PLLC
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Covered Entity Details
Entity Name
Tri-Rivers Healthcare, PLLC
Subdivision Name
Salem Medical Clinic
Type
Sexually Transmitted Diseases
340B ID
STD42078
Entity Address
141 Hospital Dr
Salem, KY 42078
Grant Number
NH25PS005135
Participating Start Date
1/1/2024
Last Recertification Date
5/9/2024
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
7/10/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael A Heneisen, Business Manager
(270) 988-3298
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/10/2024
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