340B Drug Pricing Program Database

Pharmacy Name

PROCARE PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 2919
126 EIGHTH AVE.
NEW YORK, NY 10011

Pharmacy Comments

Approval Date

4/15/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/31/2020
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Daniel J Widawsky, Chief Financial Officer
(212) 263-3092

Contract Pharmacy Representative

CVS Health
John Carlson, Director, Health System Alliances
(781) 559-9636

Signed By Date

4/15/2019