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PROCARE PHARMACY DIRECT, L.L.C.
CHC26625-01 SANTA BARBARA NEIGHBORHOOD CLINICS
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Covered Entity Details
Entity Name
SANTA BARBARA NEIGHBORHOOD CLINICS
Subdivision Name
Goleta Neighborhood Dental Clinic
Type
HRSA-Funded Health Center
340B ID
CHC26625-01
Entity Address
164 Kinman Ave.
Ste A
Goleta, CA 93117-3481
Grant Number
H80CS26625
Participating Start Date
10/1/2016
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY DIRECT, L.L.C.
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
105 MALL BOULEVARD
MONROEVILLE, PA 15146
Pharmacy Comments
12/11/2009 - PHARMACY MOVED FROM 600 PENN CENTER BLVD., PITTSBURGH, PA 15235-5810 AND NAME CHANGE (WAS PROCARE PHARMACY DIRECT, INC DBA PHARMACARE SPECIALTY PHARMACY)
Contract Details
Approval Date
10/17/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mahdi Ashrafian, Chief Executive Officer
(805) 324-8319
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/17/2022
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