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PROCARE PHARMACY, L.L.C.
CH033230 TRI-AREA COMMUNITY HEALTH
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Covered Entity Details
Entity Name
TRI-AREA COMMUNITY HEALTH
Subdivision Name
Tri-Area Community Health Center at Laurel Fork
Type
HRSA-Funded Health Center
340B ID
CH033230
Entity Address
14558 DANVILLE PIKE
LAUREL FORK, VA 24352-0009
Grant Number
H80CS00446
Participating Start Date
7/1/1995
Last Recertification Date
2/20/2025
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
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James L. Werth, Jr., CEO
(276) 870-3008
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/15/2021
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