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PROCARE PHARMACY, L.L.C.
RWI20020 Family and Medical Counseling Service, Inc.
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Covered Entity Details
Entity Name
Family and Medical Counseling Service, Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI20020
Entity Address
2041 Martin Luther King, Jr. Avenue, SE
Suite 303
Washington, DC 20020
Grant Number
H89HA00012
Participating Start Date
1/1/2013
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY#2733
1601 17TH STREET NW
WASHINGTON, DC 20009
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Flora Terrell Hamilton, CEO
(202) 889-7900 Ext: 217
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/17/2018
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