340B Drug Pricing Program Database

Pharmacy Name

PROCARE PHARMACY, L.L.C.

Pharmacy Address

DBA CVS/PHARMACY #2926
1001 MADISON ST.
SEATTLE, WA 98104

Pharmacy Comments

Approval Date

7/13/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Cody W Ziemer, Chief Financial Officer
(602) 839-8507

Contract Pharmacy Representative

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

Signed By Date

7/13/2020