340B Drug Pricing Program Database

Pharmacy Name

CVS ALBANY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 02067
2580 EAST HENRIETTA ROAD
ROCHESTER, NY 14623

Pharmacy Comments

Approval Date

7/9/2013

Contract Begin Date

10/1/2013

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

LEONARD J. SHUTE, SENIOR DIRECTOR OF FINANCE, CFO
(585) 275-3033

Contract Pharmacy Representative

Scott Tierney, Senior Director, Payer Relations
(401) 770-2762

Signed By Date

7/9/2013