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CVS PHARMACY, INC.
HV001230 CAN Community Health, Inc.
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Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Arlington
Type
Ryan White Part C
340B ID
HV001230
Entity Address
601 Matlock Centre Circle
Arlington, TX 76015
Grant Number
H76HA00123
Participating Start Date
10/1/2020
Last Recertification Date
3/10/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 06968
901 E. PIONEER PKWY
ARLINGTON, TX 76010
Pharmacy Comments
Contract Details
Approval Date
7/27/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/27/2024
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