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PROCARE PHARMACY, L.L.C.
RWI19133 Prevention Point Philadelphia
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Covered Entity Details
Entity Name
Prevention Point Philadelphia
Subdivision Name
Type
Ryan White Part A
340B ID
RWI19133
Entity Address
2913-15 Kensington Avenue
Philadelphia, PA 19134
Grant Number
H89HA00013
Participating Start Date
7/1/2013
Last Recertification Date
3/5/2025
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
1/15/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Anne Kelly, Medical Services Sustainability Manager
(215) 589-5555
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2021
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