Contract Pharmacy Details

PROCARE PHARMACY, L.L.C.
RWI282021 RAIN, Inc.

Covered Entity Details

Entity Name

RAIN, Inc.

Subdivision Name

Type

Ryan White Part A

340B ID

RWI282021

Entity Address

601 E 5th Street
Suite # 470
Charlotte, NC 28202

Grant Number

H89HA11434

Participating Start Date

1/1/2015

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

PROCARE PHARMACY, L.L.C.

Pharmacy Address

DBA CVS/PHARMACY #2923
3250 HARDEN ST. EXT. SUITE #300
COLUMBIA, SC 29203

Pharmacy Comments

Contract Details

Approval Date

1/15/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Chelsea Alyssa Gulden, President & CEO
(704) 973-9811

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

1/15/2020

340B Drug Pricing Program Database