340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PENNSYLVANIA CVS PHARMACY, L.L.C.
CHC00495-22 UNION COMMUNITY CARE
Print
Covered Entity Details
Entity Name
UNION COMMUNITY CARE
Subdivision Name
Union Community Care at Lebanon VIM
Type
HRSA-Funded Health Center
340B ID
CHC00495-22
Entity Address
711 S 8th St
Lebanon, PA 17042-6750
Grant Number
H80CS00495
Participating Start Date
1/1/2025
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Pharmacy Address
CVS PHARMACY # 17569
960 LITITZ PIKE
LITITZ, PA 17543
Pharmacy Comments
Contract Details
Approval Date
4/4/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alisa Jones, CEO
(717) 945-1551
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/4/2025
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