Contract Pharmacy Details

PROCARE PHARMACY, L.L.C.
RWII352223A AIDS Alabama, Inc.

Covered Entity Details

Entity Name

AIDS Alabama, Inc.

Subdivision Name

The HUB

Type

Ryan White Part B

340B ID

RWII352223A

Entity Address

2217 6th Avenue South
Birmingham, AL 35233

Grant Number

X07HA00049

Participating Start Date

10/1/2019

Last Recertification Date

2/6/2020

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

340B Drug Pricing Program Database