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PROCARE PHARMACY DIRECT, L.L.C.
CH101230 VIRGINIA GARCIA MEMORIAL HEALTH CENTER
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Covered Entity Details
Entity Name
VIRGINIA GARCIA MEMORIAL HEALTH CENTER
Subdivision Name
VIRGINIA GARCIA MEMORIAL HEALTH CENTER - Cornelius
Type
HRSA-Funded Health Center
340B ID
CH101230
Entity Address
1151 N Adair Street
Cornelius, OR 97113-9029
Grant Number
H80CS00817
Participating Start Date
4/1/1996
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY DIRECT, L.L.C.
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
105 MALL BOULEVARD
MONROEVILLE, PA 15146
Pharmacy Comments
12/11/2009 - PHARMACY MOVED FROM 600 PENN CENTER BLVD., PITTSBURGH, PA 15235-5810 AND NAME CHANGE (WAS PROCARE PHARMACY DIRECT, INC DBA PHARMACARE SPECIALTY PHARMACY)
Contract Details
Approval Date
4/18/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Annmarie Rainford Dennis, Corporate Compliance Officer
(503) 214-1652
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/18/2022
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