340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAREMARK KANSAS SPECIALTY PHARMACY
FQHCLA328J COUNTY OF SAN JOAQUIN
Print
Covered Entity Details
Entity Name
COUNTY OF SAN JOAQUIN
Subdivision Name
Manteca Clinic
Type
Health Center Program Look-Alike
340B ID
FQHCLA328J
Entity Address
283 Spreckels Ave
Manteca, CA 95336-6005
Grant Number
LALCS00158
Participating Start Date
7/1/2023
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CAREMARK KANSAS SPECIALTY PHARMACY
Pharmacy Address
CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
11162 RENNER BLVD
LENEXA, KS 66219
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rachna Sharma, Controller
(209) 953-3738
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/15/2025
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