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CAREMARK, L.L.C.
CHC24112-00 MCCLOUD HEALTHCARE CLINIC INC
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Covered Entity Details
Entity Name
MCCLOUD HEALTHCARE CLINIC INC
Subdivision Name
Shasta Cascade Health Centers - McCloud
Type
HRSA-Funded Health Center
340B ID
CHC24112-00
Entity Address
116 West Minnesota Avenue
McCloud, CA 96057-1143
Grant Number
H80CS24112
Participating Start Date
1/1/2014
Last Recertification Date
2/23/2025
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
4/4/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Caleb Jerel Ott, CEO
(530) 926-6309 Ext: 5501
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/4/2025
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