Contract Pharmacy Details

PROCARE PHARMACY, L.L.C.
STD3280421 26Health, Inc

Covered Entity Details

Entity Name

26Health, Inc

Subdivision Name

Digestive and Liver Center of Florida

Type

Sexually Transmitted Diseases

340B ID

STD3280421

Entity Address

721 W. Colonial Dr.
Orlando, FL 32804

Grant Number

1H25PS004342-02

Participating Start Date

1/1/2022

Last Recertification Date

Entity Termination Date

4/1/2022

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

11/17/2021

Contract Begin Date

1/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2022
Covered Entity Terminated

Contacts

Covered Entity Signing Official

David Baker-Hargrove, President/Co-CEO
(321) 800-2922

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

10/14/2021

340B Drug Pricing Program Database