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PROCARE PHARMACY, L.L.C.
RWII32301A Big Bend Cares
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Covered Entity Details
Entity Name
Big Bend Cares
Subdivision Name
Type
Ryan White Part B
340B ID
RWII32301A
Entity Address
2200 S. Monroe St
Tallahassee, FL 32301
Grant Number
X07HA00057
Participating Start Date
1/1/2017
Last Recertification Date
2/10/2025
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
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Renzi, CEO
(850) 656-2437 Ext: 240
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2021
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