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PROCARE PHARMACY, L.L.C.
DSH420068 THE REGIONAL MEDICAL CENTER (TRMC)
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Covered Entity Details
Entity Name
THE REGIONAL MEDICAL CENTER (TRMC)
Subdivision Name
OF ORANGEBURG & CALHOUN COUNTIES
Type
Disproportionate Share Hospital
340B ID
DSH420068
Entity Address
3000 ST. MATTHEWS ROAD
ORANGEBURG, SC 29118
Medicare Provider Number
420068
Participating Start Date
7/1/2004
Last Recertification Date
9/9/2022
Entity Termination Date
4/1/2023
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
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Rick George Langosch, Interim CFO
(803) 395-4485
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/15/2020
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