Contract Pharmacy Details

CAREMARK, L.L.C.
STD700723 Harris M. Blackman, MD, LLC

Covered Entity Details

Entity Name

Harris M. Blackman, MD, LLC

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD700723

Entity Address

1111 Medical Center Boulevard
N-401
Marrero, LA 70072

Grant Number

NU62PS924522

Participating Start Date

4/1/2023

Last Recertification Date

5/6/2024

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

4/9/2025

Contract Begin Date

7/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Jennifer Ladd Bowman, Office Manager
(504) 347-2141 Ext: 1

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

4/9/2025

340B Drug Pricing Program Database