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PROCARE PHARMACY, L.L.C.
FQHCLA368 WAHIAWA CENTER FOR COMMUNITY HEALTH, THE
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Covered Entity Details
Entity Name
WAHIAWA CENTER FOR COMMUNITY HEALTH, THE
Subdivision Name
The Wahiawa Center for Community Health
Type
Health Center Program Look-Alike
340B ID
FQHCLA368
Entity Address
302 CALIFORNIA AVE STE 106
Wahiawa, HI 96786-1841
Grant Number
LALCS31600
Participating Start Date
7/1/2018
Last Recertification Date
2/13/2025
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
7/12/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Beverly Harbin, CEO
(808) 591-0000
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/12/2022
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