340B Drug Pricing Program Database

Pharmacy Name

PROCARE PHARMACY, L.L.C.

Pharmacy Address

DBA CVS/PHARMACY #2923
3250 HARDEN ST. EXT. SUITE #300
COLUMBIA, SC 29203

Pharmacy Comments

Approval Date

8/5/2022

Contract Begin Date

10/1/2022

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Kirk Bodlovic, Chief Operating Officer
(406) 327-1740

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

7/11/2022