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PROCARE PHARMACY, L.L.C.
STD9812231 Gay City Health Project
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Covered Entity Details
Entity Name
Gay City Health Project
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD9812231
Entity Address
400 E Pine St
100
Seattle, WA 98122
Grant Number
NU62PS924528
Participating Start Date
7/1/2020
Last Recertification Date
5/8/2025
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #2926
1001 MADISON ST.
SEATTLE, WA 98104
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Fred Swanson, Executive Director
(206) 388-1702
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2021
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