340B Drug Pricing Program Database

Pharmacy Name

CVS ALBANY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 06053
2045 FOREST AVE.
STATEN ISLAND, NY 10303

Pharmacy Comments

Approval Date

4/17/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

DAVID H. KIM, EXECUTIVE DIRECTOR
(718) 815-6560

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

4/17/2017