340B Drug Pricing Program Database
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PROCARE PHARMACY, L.L.C.
RWII352223B AIDS Alabama
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Covered Entity Details
Entity Name
AIDS Alabama
Subdivision Name
Living Well Clinic
Type
Ryan White Part B
340B ID
RWII352223B
Entity Address
3522 7th Avenue South
Birmingham, AL 35222
Grant Number
X07HA00049
Participating Start Date
1/1/2021
Last Recertification Date
2/14/2025
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
11/30/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Katherine Elizabeth McMullen, Director of Programs Administration
(205) 918-8196
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2020
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