Contract Pharmacy Details

PROCARE PHARMACY, L.L.C.
RWII35222 AIDS Alabama, Inc.

Covered Entity Details

Entity Name

AIDS Alabama, Inc.

Subdivision Name

Type

Ryan White Part B

340B ID

RWII35222

Entity Address

3529 7th Avenue South
Birmingham, AL 35222

Grant Number

X07HA00049

Participating Start Date

7/1/2017

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

10/13/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Kathie Hiers, Chief Executive Officer
(205) 324-9822

Contract Pharmacy Representative

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

Signed By Date

10/13/2020

340B Drug Pricing Program Database