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PROCARE PHARMACY, L.L.C.
DSH080001 CHRISTIANA CARE HEALTH SYSTEM
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Covered Entity Details
Entity Name
CHRISTIANA CARE HEALTH SYSTEM
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH080001
Entity Address
501 W. 14TH STREET
WILMINGTON, DE 19801
Medicare Provider Number
080001
Participating Start Date
4/1/2018
Last Recertification Date
8/23/2024
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
1/12/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert McMurray, Chief Financial Officer
(302) 623-7202
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/12/2022
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