Contract Pharmacy Details

PROCARE PHARMACY, L.L.C.
STD94520 PLANNED PARENTHOOD SHASTA-DIABLO, INC. DBA PLANNED PARENTHOOD NORTHERN CALIFORNIA

Covered Entity Details

Entity Name

PLANNED PARENTHOOD SHASTA-DIABLO, INC. DBA PLANNED PARENTHOOD NORTHERN CALIFORNIA

Subdivision Name

CONCORD CENTER

Type

Sexually Transmitted Diseases

340B ID

STD94520

Entity Address

Planned Parenthood Northern California
2185 PACHECO STREET
CONCORD, CA 94520

Grant Number

1H25PS005127

Participating Start Date

4/1/2004

Last Recertification Date

5/6/2024

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

9/2/2022

Contract Begin Date

9/12/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Gloria Martinez, Medical Services & Purchasing Manager
(925) 887-5217

Contract Pharmacy Representative

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

Signed By Date

9/2/2022

340B Drug Pricing Program Database