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PROCARE PHARMACY, L.L.C.
FQHCLA404 CHATTANOOGA C.A.R.E.S. DBA CEMPA COMMUNITY CARE
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Covered Entity Details
Entity Name
CHATTANOOGA C.A.R.E.S. DBA CEMPA COMMUNITY CARE
Subdivision Name
Cempa Community Care Clinic
Type
Health Center Program Look-Alike
340B ID
FQHCLA404
Entity Address
1000 E. 3rd Street Ste 300
Chattanooga, TN 37403-2153
Grant Number
LALCS33899
Participating Start Date
3/17/2020
Last Recertification Date
2/14/2025
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
10/12/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shannon Stephenson, CEO
(423) 648-9911
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/12/2021
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