340B Drug Pricing Program Database

Pharmacy Name

CVS MANCHESTER NH, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 07391
861 CENTRAL ST.
FRANKLIN, NH 03235

Pharmacy Comments

Approval Date

4/8/2016

Contract Begin Date

7/1/2016

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

HENRY LIPMAN, SVP Financial Strategy/External Relations
(603) 527-2802

Contract Pharmacy Representative

CVS Health
Jaclyn Parfitt, 340B Operations Manager
(401) 770-6467

Signed By Date

4/8/2016