Contract Pharmacy Details

PROCARE PHARMACY, L.L.C.
RW400091D University of Florida

Covered Entity Details

Entity Name

University of Florida

Subdivision Name

University of Florida CARES CMS

Type

Ryan White Part D

340B ID

RW400091D

Entity Address

910 N. Jefferson Street
Jacksonville, FL 32209

Grant Number

H12HA24824

Participating Start Date

8/10/2020

Last Recertification Date

2/11/2025

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

8/10/2020

Contract Begin Date

8/10/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Tina M. Bottini, Senior Asst. Dean, Research
(904) 244-9478

Contract Pharmacy Representative

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

Signed By Date

8/7/2020

340B Drug Pricing Program Database