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CAREMARK, L.L.C.
FQHCLA398A NEIGHBORHEALTH CENTER, INC.
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Covered Entity Details
Entity Name
NEIGHBORHEALTH CENTER, INC.
Subdivision Name
NeighborHealth Center Susanne Berger Clinic
Type
Health Center Program Look-Alike
340B ID
FQHCLA398A
Entity Address
2605 Blue Ridge Rd STE 225
Raleigh, NC 27607-6459
Grant Number
LALCS33334
Participating Start Date
10/1/2022
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
7/11/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lance Luttrell, Director of Compliance and Population Health
(984) 222-8000
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/11/2024
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