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PROCARE PHARMACY, L.L.C.
STD344713 26Health, Inc.
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Covered Entity Details
Entity Name
26Health, Inc.
Subdivision Name
Infectious Disease Associates of North Central FL
Type
Sexually Transmitted Diseases
340B ID
STD344713
Entity Address
33026 SW 26th Ave, Ste 104
Ocala, FL 34471
Grant Number
1H25PS00432-02
Participating Start Date
10/1/2018
Last Recertification Date
5/17/2021
Entity Termination Date
1/1/2022
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
10/10/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
David Baker-Hargrove, President/Co-CEO
(321) 800-2922
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/10/2020
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