340B Drug Pricing Program Database

Pharmacy Name

AMERICAN DRUG STORES DELAWARE, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 08620
1950 32ND AVE. S
GRAND FORKS, ND 58201

Pharmacy Comments

Approval Date

7/20/2017

Contract Begin Date

10/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

DWIGHT William THOMPSON, CFO
(701) 780-5211

Contract Pharmacy Representative

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

Signed By Date

7/20/2017