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PROCARE PHARMACY, L.L.C.
STD18235 Novus Adult Care Services
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Covered Entity Details
Entity Name
Novus Adult Care Services
Subdivision Name
Lehighton
Type
Sexually Transmitted Diseases
340B ID
STD18235
Entity Address
243 South 3rd Street
Lehighton, PA 18235
Grant Number
NH25PS005144
Participating Start Date
4/1/2020
Last Recertification Date
5/6/2024
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
4/8/2022
Contract Begin Date
4/18/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joe Mannino, CFO
(610) 419-0502
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/8/2022
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