340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

PROCARE PHARMACY DIRECT, L.L.C.
CAH031300-00 WICKENBURG COMMUNITY HOSPITAL ASSOCIATION INC

Covered Entity Details

Critical Access Hospital
CAH031300-00
520 ROSE LANE
WICKENBURG, AZ 85390
031300
4/1/2012
8/15/2024


Pharmacy Details

DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
105 MALL BOULEVARD
MONROEVILLE, PA 15146
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

1/28/2021
4/1/2021

11/24/2023
Business decision by covered entity and/or pharmacy


Contacts


Jackie S Lundblad, CEO
(602) 321-8402



CAREMARK LLC SPECIALTY
CHRISTIAN REID, SR. DIRECTOR 340B
(401) 770-2118
1/28/2021