340B Drug Pricing Program Database

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PROCARE PHARMACY, L.L.C.
CHC26564-03 SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER

Covered Entity Details

Four Rivers Community Health Center
HRSA-Funded Health Center
CHC26564-03
1081 E 18th St
Rolla, MO 65401
H80CS26564
1/1/2017
2/21/2025


Pharmacy Details

DBA CVS/PHARMACY OR CARELONRX SPECIALTY
ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULU, HI 96813
3/22/10 NAME CORRECTION (WAS CVS PROCARE PHARMACY DBA CVS PROCARE PHARMACY #2915) 3/17/10 ADDR CHANGE (WAS 970 N KALAHEO AVE, SUITE A 203)

Contract Details

7/14/2020
10/1/2020


Contacts


Stuart Gipson, CEO
(573) 426-6714



CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
7/14/2020