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PROCARE PHARMACY, L.L.C.
STD334011 26Health, Inc
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Covered Entity Details
Entity Name
26Health, Inc
Subdivision Name
Sergio R. Vega, MD
Type
Sexually Transmitted Diseases
340B ID
STD334011
Entity Address
1500 N. Dixie Hwy
206
West Palm Beach, FL 33401
Grant Number
1H25PS004342-02
Participating Start Date
10/1/2022
Last Recertification Date
Entity Termination Date
7/1/2023
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
10/12/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
David Baker-Hargrove, President/Co-CEO
(321) 800-2922
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/12/2022
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