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CAREMARK KANSAS SPECIALTY PHARMACY
CHC11399-00 Care Resource Community Health Centers, Inc.
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Covered Entity Details
Entity Name
Care Resource Community Health Centers, Inc.
Subdivision Name
Care Resource Community Health Center at Ft. Lauderdale
Type
HRSA-Funded Health Center
340B ID
CHC11399-00
Entity Address
871 W Oakland Park Blvd
Wilton Manors, FL 33311-1731
Grant Number
H80CS12864
Participating Start Date
7/1/2009
Last Recertification Date
2/21/2025
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
1/19/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Hudes Desrameaux, Associate Director of Grants and Program Development
(305) 576-1234 Ext: 230
Contract Pharmacy Representative
CVS
Jeff Noone, Director
(412) 660-1513
Signed By Date
1/19/2017
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