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PROCARE PHARMACY, L.L.C.
STD333121 South Florida Care Center,Inc
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Covered Entity Details
Entity Name
South Florida Care Center,Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD333121
Entity Address
345 sw 27th av
Fort Lauderdale, FL 33312
Grant Number
NH25PS005131
Participating Start Date
7/1/2021
Last Recertification Date
5/9/2022
Entity Termination Date
7/1/2023
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
6/1/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Katia Lapointe, President
(954) 366-5131
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2021
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