340B Drug Pricing Program Database

Pharmacy Name

CVS PHARMACY, INC.

Pharmacy Address

DBA: CVS/PHARMACY # 08970
362 MAIN STREET, SUITE 2
GREAT BARRINGTON, MA 01230

Pharmacy Comments

Approval Date

1/7/2014

Contract Begin Date

4/1/2014

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

DARLENE RODOWICZ, Executive Vice President & Treasurer
(413) 447-2809

Contract Pharmacy Representative

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

Signed By Date

1/7/2014