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CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC
APLA HEALTH & WELLNESS
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Covered Entity Details
Entity Name
APLA HEALTH & WELLNESS
Subdivision Name
APLA HEALTH - OLYMPIC #310
Type
Ryan White Part A
340B ID
Entity Address
5901 W. OLYMPIC BLVD.
STE 310
LOS ANGELES, CA 90036
Grant Number
H89HA00016
Participating Start Date
Last Recertification Date
Pharmacy Details
Pharmacy Name
CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC
Pharmacy Address
DBA CVS/CAREMARK 48067
1780 WALL ST
MT PROSPECT, IL 60056
Pharmacy Comments
Contract Details
Approval Date
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Craig E. Thompson, Chief Executive Officer
(213) 201-1456
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/15/2025
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