340B Drug Pricing Program Database

Pharmacy Name

KANSAS CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 08584
950 MINNESOTA AVE.
KANSAS CITY, KS 66101

Pharmacy Comments

Approval Date

2/25/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/27/2025
Pharmacy closed

Covered Entity Signing Official

TAMMY PETERMAN, EXECUTIVE VP, COO, CHIEF NURSING OFFICER
(913) 588-1270

Contract Pharmacy Representative

CVS
Scott Tierney, Senior Director, Payer Relations
(401) 770-2762

Signed By Date

1/14/2013