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PROCARE PHARMACY, L.L.C.
CH032960 WESTSIDE FAMILY HEALTHCARE, INC.
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Covered Entity Details
Entity Name
WESTSIDE FAMILY HEALTHCARE, INC.
Subdivision Name
Westside Family Healthcare - Administration Office
Type
HRSA-Funded Health Center
340B ID
CH032960
Entity Address
300 Water Street
Suite 200
Wilmington, DE 19801-5043
Grant Number
H80CS00789
Participating Start Date
4/1/2000
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY OR CARELONRX SPECIALTY
ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULU, HI 96813
Pharmacy Comments
3/22/10 NAME CORRECTION (WAS CVS PROCARE PHARMACY DBA CVS PROCARE PHARMACY #2915) 3/17/10 ADDR CHANGE (WAS 970 N KALAHEO AVE, SUITE A 203)
Contract Details
Approval Date
7/15/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chris Fraser, President & CEO
(302) 656-8292 Ext: 1008
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2022
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