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PROCARE PHARMACY, L.L.C.
STD330603 SOUTH FLORIDA CARE CENTER INC
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Covered Entity Details
Entity Name
SOUTH FLORIDA CARE CENTER INC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD330603
Entity Address
1600 E Atlantic Blvd
1st Floor
B
POMPANO BEACH, FL 33060-4968
Grant Number
NH25PS005131
Participating Start Date
7/1/2020
Last Recertification Date
5/7/2024
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
10/2/2020
Contract Begin Date
12/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Katia Lapointe, President
(954) 366-5131
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/2/2020
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