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PROCARE PHARMACY, L.L.C.
SCH500033-00 SAMARITAN HEALTHCARE
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Covered Entity Details
Entity Name
SAMARITAN HEALTHCARE
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH500033-00
Entity Address
801 EAST WHEELER ROAD
MOSES LAKE, WA 98837
Medicare Provider Number
500033
Participating Start Date
7/1/2020
Last Recertification Date
8/15/2024
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
1/6/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alexander Town, Chief Financial Officer
(509) 793-9710
Contract Pharmacy Representative
Samaritan Healthcare
Lloyd Stever, Director of Pharmacy
(509) 793-9677
Signed By Date
4/15/2021
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