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PROCARE PHARMACY, L.L.C.
FP785503 Valley AIDS Council
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Covered Entity Details
Entity Name
Valley AIDS Council
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP785503
Entity Address
2306 Camelot Plaza Circle
Harlingen, TX 78550
Grant Number
FPHPA006401
Participating Start Date
4/1/2020
Last Recertification Date
5/14/2025
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #2859
7950 FLOYD CURL DR. STE #106
SAN ANTONIO, TX 78229
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Wally Cantu, Executive Director
(956) 428-2653
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/15/2020
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