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PROCARE PHARMACY, L.L.C.
STD352331 AIDS Alabama, Inc.
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Covered Entity Details
Entity Name
AIDS Alabama, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD352331
Entity Address
2217 6th Avenue South
Birmingham, AL 35233
Grant Number
6NH25PS005129
Participating Start Date
7/1/2019
Last Recertification Date
5/27/2020
Entity Termination Date
4/1/2021
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
Contract Termination Date
Termination Reason
4/1/2021
Covered Entity Terminated
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
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