340B Drug Pricing Program Database

Pharmacy Name

WOODWARD DETROIT CVS, L.L.C.

Pharmacy Address

DBA CVS/PHARMACY # 10137
132 DOUGLAS AVE.
HOLLAND, MI 49424

Pharmacy Comments

Approval Date

2/19/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Mark Pawlak, President
(616) 392-5141

Contract Pharmacy Representative

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

Signed By Date

1/7/2013