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PROCARE PHARMACY DIRECT, L.L.C.
CHC24115-00 SABAN FREE CLINIC, THE
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Covered Entity Details
Entity Name
SABAN FREE CLINIC, THE
Subdivision Name
Beverly Health Center
Type
HRSA-Funded Health Center
340B ID
CHC24115-00
Entity Address
8405 Beverly Blvd.
Los Angeles, CA 90048-3401
Grant Number
H80CS24115
Participating Start Date
10/1/2012
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY DIRECT, L.L.C.
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
105 MALL BOULEVARD
MONROEVILLE, PA 15146
Pharmacy Comments
12/11/2009 - PHARMACY MOVED FROM 600 PENN CENTER BLVD., PITTSBURGH, PA 15235-5810 AND NAME CHANGE (WAS PROCARE PHARMACY DIRECT, INC DBA PHARMACARE SPECIALTY PHARMACY)
Contract Details
Approval Date
7/14/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Muriel Nouwezem, CEO
(323) 337-1707
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/14/2020
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