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CAREMARK NEW JERSEY SPECIALTY PHCY, LLC
CH10257B COMMUNITY HEALTH ASSOCIATION OF SPOKANE
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Covered Entity Details
Entity Name
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Subdivision Name
Valley Clinic
Type
HRSA-Funded Health Center
340B ID
CH10257B
Entity Address
15812 E Indiana Ave
Spokane Valley, WA 99216
Grant Number
H80CS00319
Participating Start Date
1/1/2001
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
CAREMARK NEW JERSEY SPECIALTY PHCY, LLC
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
180 PASSAIC AVE UNIT B-5
FAIRFIELD, NJ 07004
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Michael Browne, CFO
(509) 444-8888
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2025
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