The objective of this project is to conduct a multi-center, cluster-randomized study utilizing a centralized Cardiovascular Risk Service (CVRS) managed by clinical pharmacists. Twenty primary care sites with large geographic, racial, and ethnic diversity will be randomized to either the CVRS arm or a usual care arm. Each site is expected to enroll 20-25 patients for a total of 400 subjects, of whom 240 will be racial minorities. A description of this clinical trial is available on www.ClinicalTrials.gov. Simply go to the website, type the study identifier number NCT02215408 into the box under Search for Studies, and click on Search.