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PROCARE PHARMACY, L.L.C.
STD18901 Novus Adult Care Services
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Covered Entity Details
Entity Name
Novus Adult Care Services
Subdivision Name
Doylestown Office
Type
Sexually Transmitted Diseases
340B ID
STD18901
Entity Address
11 Duane Road
Suite A
Doylestown, PA 18901
Grant Number
NH25PS005144
Participating Start Date
10/1/2019
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
Allen C Smith, Owner
(610) 867-5365
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/8/2022
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