340B Drug Pricing Program Database

Pharmacy Name

CVS ALBANY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 00793
1013 STATE HIGHWAY 29A
GLOVERSVILLE, NY 12078

Pharmacy Comments

Approval Date

11/6/2012

Contract Begin Date

10/27/2012

Carve-In Effective Date

Contract Comments

11/06/2012 public health emergency declared in the state of NY effective 10/27/2012

Covered Entity Signing Official

Henry Legendziewicz, Senior Vice Pres & CFO
(518) 773-5480

Contract Pharmacy Representative

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

Signed By Date

9/28/2012