340B Drug Pricing Program Database
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PROCARE PHARMACY, L.L.C.
RWII30309 AID Atlanta Inc
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Covered Entity Details
Entity Name
AID Atlanta Inc
Subdivision Name
Type
Ryan White Part B
340B ID
RWII30309
Entity Address
770 Greison Trail
Suite H
Newnan, GA 30263
Grant Number
X08HA28021
Participating Start Date
7/1/2015
Last Recertification Date
2/28/2025
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
7/13/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/13/2022
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