Contract Pharmacy Details

CAREMARK, L.L.C.
FQHCLA280A Knox/Winamac Community Health Centers, Inc.

Covered Entity Details

Entity Name

Knox/Winamac Community Health Centers, Inc.

Subdivision Name

Knox/Winamac Community Health Centers

Type

Health Center Program Look-Alike

340B ID

FQHCLA280A

Entity Address

1002 S. Edgewood Dr.
Knox, IN 46534-8226

Grant Number

LALCS00038

Participating Start Date

10/1/2015

Last Recertification Date

2/10/2025

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

7/11/2024

Contract Begin Date

10/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Kathy Robb, Executive Director
(574) 772-6030 Ext: 24

Contract Pharmacy Representative

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

Signed By Date

7/11/2024

340B Drug Pricing Program Database