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PROCARE PHARMACY DIRECT, L.L.C.
CH044150 ALBANY AREA PRIMARY HEALTH CARE, INC
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Covered Entity Details
Entity Name
ALBANY AREA PRIMARY HEALTH CARE, INC
Subdivision Name
ALBANY AREA PRIMARY HEALTH CARE, INC.
Type
HRSA-Funded Health Center
340B ID
CH044150
Entity Address
204 N.WESTOVER BLVD.
ALBANY, GA 31707
Grant Number
H80CS00763
Participating Start Date
4/1/2003
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY DIRECT, L.L.C.
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
105 MALL BOULEVARD
MONROEVILLE, PA 15146
Pharmacy Comments
12/11/2009 - PHARMACY MOVED FROM 600 PENN CENTER BLVD., PITTSBURGH, PA 15235-5810 AND NAME CHANGE (WAS PROCARE PHARMACY DIRECT, INC DBA PHARMACARE SPECIALTY PHARMACY)
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shelley Spires, Chief Executive Officer
(229) 888-6559 Ext: 6209
Contract Pharmacy Representative
CVS Health
Kelsey Kalish, Account Manager
(347) 443-0655
Signed By Date
10/15/2020
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