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PROCARE PHARMACY, L.L.C.
STD336071 Hope and Help Center of Central Florida, Inc.
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Covered Entity Details
Entity Name
Hope and Help Center of Central Florida, Inc.
Subdivision Name
HIV & STD Prevention & Care Services
Type
Sexually Transmitted Diseases
340B ID
STD336071
Entity Address
2123 W. Doctor MLK Jr. Blvd.
Suite 202
Tampa, FL 33607
Grant Number
NH25PS005131
Participating Start Date
4/1/2018
Last Recertification Date
5/8/2024
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
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa Barr, Executive Director
(407) 645-2577 Ext: 121
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2020
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