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PROCARE PHARMACY, L.L.C.
HV24847 Drexel University
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Covered Entity Details
Entity Name
Drexel University
Subdivision Name
Partnership Comprehensive Care Practice
Type
Ryan White Part C
340B ID
HV24847
Entity Address
1427 Vine Street
2nd & 5th Floors
Philadelphia, PA 19102
Grant Number
H76HA31531
Participating Start Date
4/1/2013
Last Recertification Date
2/10/2025
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
7/16/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Aleister Saunders, Executive Vice Provost for Research & Innovation
(215) 895-6203
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/16/2020
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