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PROCARE PHARMACY, L.L.C.
STD33176 Allied Health Organization Inc
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Covered Entity Details
Entity Name
Allied Health Organization Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33176
Entity Address
10651 SW 88 St
207
Miami, FL 33176
Grant Number
NH25PS005131
Participating Start Date
8/3/2020
Last Recertification Date
6/5/2022
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
5/21/2021
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
Alejandro J Castro, CEO
(954) 446-3204
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
5/21/2021
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