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PROCARE PHARMACY, L.L.C.
HV01706A MEHARRY COMMUNITY WELLNESS CENTER
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Covered Entity Details
Entity Name
MEHARRY COMMUNITY WELLNESS CENTER
Subdivision Name
METROPOLITAN INTERDENOMINOTIONAL CHURCH/FIRST RESPONSE CENTER
Type
Ryan White Part C
340B ID
HV01706A
Entity Address
2128 11th avenue North
NASHVILLE, TN 37208
Grant Number
H76HA01706
Participating Start Date
9/10/2021
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY, L.L.C.
Pharmacy Address
BENEVERE PHARMACY
1162 W. POPLAR AVENUE
COLLIERVILLE, TN 38017
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
VLADIMIR BERTHAUD, EXECUTIVE DIRECTOR
(615) 327-5753
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/17/2018
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