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PROCARE PHARMACY, L.L.C.
CAH181331-00 APPALACHIAN REGIONAL HEALTHCARE INC. D/B/A MCDOWELL ARH HOSPITAL
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Covered Entity Details
Entity Name
APPALACHIAN REGIONAL HEALTHCARE INC. D/B/A MCDOWELL ARH HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181331-00
Entity Address
9879 KY RTE 122
MCDOWELL, KY 41647
Medicare Provider Number
181331
Participating Start Date
9/8/2010
Last Recertification Date
9/3/2024
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
1/7/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Hollie P Harris, President & CEO
(859) 226-2511
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/7/2022
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