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PROCARE PHARMACY, L.L.C.
CH010720 NeighborHealth Corporation
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Covered Entity Details
Entity Name
NeighborHealth Corporation
Subdivision Name
EAST BOSTON NEIGHBORHOOD HEALTH
Type
HRSA-Funded Health Center
340B ID
CH010720
Entity Address
10 Gove St
East Boston, MA 02128-1920
Grant Number
H80CS00058
Participating Start Date
7/1/1997
Last Recertification Date
3/6/2025
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
1/18/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Manuel Lopes, CEO
(617) 568-4570
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/18/2022
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