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PROCARE PHARMACY, L.L.C.
RWII61265 The Project of the Quad Cities
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Covered Entity Details
Entity Name
The Project of the Quad Cities
Subdivision Name
Type
Ryan White Part B
340B ID
RWII61265
Entity Address
4101 John Deere Road
Suite 3
Moline, IL 61265
Grant Number
X07HA00013-27-00
Participating Start Date
4/1/2016
Last Recertification Date
2/11/2025
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
4/7/2021
Contract Begin Date
6/3/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Andrea Jo Meirick, Executive Director
(309) 762-5433
Contract Pharmacy Representative
CVSHealth
Christina Reid, 340B Program Director
(401) 770-2118
Signed By Date
4/7/2021
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