340B Drug Pricing Program Database
PROCARE PHARMACY, L.L.C.
CH09288A Lifelong Medical Care - information as of 6/6/2025 4:59:08 AM
Covered Entity Details
Entity Name
Lifelong Medical Care
Subdivision Name
BERKELEY PRIMARY CARE
Type
HRSA-Funded Health Center
340B ID
CH09288A
Entity Address
2001 DWIGHT WAY
BERKELEY, CA 94704-2608
Grant Number
H80CS00808
Participating Start Date
7/1/1999
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY, L.L.C.
Pharmacy Address
DBA: CAREPLUS CVS/PHARMACY # 02822
3031 TELEGRAPH AVENUE SUITE 115
BERKELEY, CA 94705
Pharmacy Comments
Contract Details
Approval Date
11/26/2012
Contract Begin Date
11/26/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/19/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Marty Lynch, CEO
(510) 549-5450 Ext: 4123
Contract Pharmacy Representative
Randy Falkenrath, Senior Vice President
(847) 559-4320
Signed By Date
9/25/2012
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