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PROCARE PHARMACY, L.L.C.
STD9812231 Gay City Health Project
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Covered Entity Details
Entity Name
Gay City Health Project
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD9812231
Entity Address
400 E Pine St Suite 100
Seattle, WA 98122
Grant Number
NU62PS924528
Participating Start Date
7/1/2020
Last Recertification Date
5/13/2024
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
5/25/2022
Contract Begin Date
5/26/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bekah Telew, Co-Director
(206) 388-1711
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
5/25/2022
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