340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PROCARE PHARMACY, L.L.C.
STD338801 J AGUSTIN LACSON MD INC
Print
Covered Entity Details
Entity Name
J AGUSTIN LACSON MD INC
Subdivision Name
WINTER HAVEN
Type
Sexually Transmitted Diseases
340B ID
STD338801
Entity Address
537 E CENTRAL AVE
STE B
WINTER HAVEN, FL 33880-3001
Grant Number
NH25PS005131
Participating Start Date
2/3/2023
Last Recertification Date
5/10/2024
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
2/3/2023
Contract Begin Date
2/3/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
agustin juan lacson, president
(863) 835-0060
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
11/30/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session