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PROCARE PHARMACY, L.L.C.
STD34947 26Health, Inc
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Covered Entity Details
Entity Name
26Health, Inc
Subdivision Name
Kidney Care of the Treasure Coast
Type
Sexually Transmitted Diseases
340B ID
STD34947
Entity Address
2000 Hartman Road
1
Fort Pierce, FL 34947
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
10/14/2022
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
10/14/2022
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