340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CVS PHARMACY, INC.
CAH451300-00 PARMER COUNTY COMMUNITY HOSPT. INC.
Print
Covered Entity Details
Entity Name
PARMER COUNTY COMMUNITY HOSPT. INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451300-00
Entity Address
1307 CLEVELAND STREET
FRIONA, TX 79035
Medicare Provider Number
451300
Participating Start Date
10/1/2014
Last Recertification Date
9/10/2024
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 07818
101 WEST PARK AVE.
HEREFORD, TX 79045
Pharmacy Comments
Contract Details
Approval Date
10/14/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/30/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Gayla Quillin, CEO/Administrator
(806) 250-2754
Contract Pharmacy Representative
CVS Rx Services, Inc
Jordan Birnbaum, 340B Vendor Manager
(401) 770-2241
Signed By Date
10/14/2014
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session