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PROCARE PHARMACY, L.L.C.
STD347414 26Health, Inc.
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Covered Entity Details
Entity Name
26Health, Inc.
Subdivision Name
Ahmed Infectious Disease
Type
Sexually Transmitted Diseases
340B ID
STD347414
Entity Address
3223 Hillsdale Ln
Kissimmee, FL 34741
Grant Number
1H25PS004342-02
Participating Start Date
1/1/2021
Last Recertification Date
5/17/2021
Entity Termination Date
1/1/2022
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
4/15/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
David Baker-Hargrove, President/Co-CEO
(321) 800-2922
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/15/2021
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