Contract Pharmacy Details

PROCARE PHARMACY, L.L.C.
CH042160 DAYSPRING HEALTH, INC.

Covered Entity Details

Entity Name

DAYSPRING HEALTH, INC.

Subdivision Name

DAYSPRING HEALTH, INC.

Type

HRSA-Funded Health Center

340B ID

CH042160

Entity Address

107 S Main St
Jellico, TN 37762-2154

Grant Number

H80CS00716

Participating Start Date

10/1/1996

Last Recertification Date

2/10/2025

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

4/1/2021

Contract Begin Date

7/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Lawrence Michael Rector, COO/CFO
(423) 784-8492 Ext: 221

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

4/1/2021

340B Drug Pricing Program Database