340B Drug Pricing Program Database

Pharmacy Name

NORTH CAROLINA CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY #07513
4309 NEW BERN AVE (NWC)
RALEIGH, NC 27610

Pharmacy Comments

Approval Date

4/15/2016

Contract Begin Date

7/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/10/2017
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Mike Browning, Executive VP of Finance, CFO
(919) 350-8118

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

4/15/2016