340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MISSOURI CVS PHARMACY, L.L.C.
FQHCLA471 AIDS ARMS INC
Print
Covered Entity Details
Entity Name
AIDS ARMS INC
Subdivision Name
Prism Health North Texas at Worth Street Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA471
Entity Address
4004 Worth Street STE 100
Dallas, TX 75246-1638
Grant Number
LALCS53449
Participating Start Date
10/1/2024
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
MISSOURI CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08543
1914 SWIFT
N. KANSAS CITY, MO 64116
Pharmacy Comments
Contract Details
Approval Date
10/28/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John T. Carlo, CEO
(214) 521-5191
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/28/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session