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PROCARE PHARMACY, L.L.C.
STD73116 Equality Health Group Foundation
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Covered Entity Details
Entity Name
Equality Health Group Foundation
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD73116
Entity Address
8 SW 89th St.
STE 200
Oklahoma City, OK 73139
Grant Number
NH25PS005143
Participating Start Date
9/14/2020
Last Recertification Date
5/18/2024
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
1/7/2021
Contract Begin Date
1/21/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cody Turpin, President
(405) 420-7328
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/7/2021
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