340B Drug Pricing Program Database
PROCARE PHARMACY DIRECT, L.L.C.
DSH050195 WASHINGTON HOSPITAL HEALTHCARE SYSTEM - information as of 6/18/2025 1:45:29 AM
Covered Entity Details
Entity Name
WASHINGTON HOSPITAL HEALTHCARE SYSTEM
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050195
Entity Address
2000 MOWRY AVENUE
FREMONT, CA 94538
Medicare Provider Number
050195
Participating Start Date
7/1/2010
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY DIRECT, L.L.C.
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
105 MALL BOULEVARD
MONROEVILLE, PA 15146
Pharmacy Comments
12/11/2009 - PHARMACY MOVED FROM 600 PENN CENTER BLVD., PITTSBURGH, PA 15235-5810 AND NAME CHANGE (WAS PROCARE PHARMACY DIRECT, INC DBA PHARMACARE SPECIALTY PHARMACY)
Contract Details
Approval Date
10/14/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Edward Fayen, Exec VP & Chief of Operations
(510) 818-6513
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/14/2022
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