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PROCARE PHARMACY, L.L.C.
STD347418 Access Health Plus, Inc
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Covered Entity Details
Entity Name
Access Health Plus, Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD347418
Entity Address
207 Park Place Blvd
Suite 4
Kissimmee, FL 34741
Grant Number
NH25PS005131
Participating Start Date
10/12/2022
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
1/4/2023
Contract Begin Date
1/23/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Juan Rodriguez, Director of 340B Operations
(407) 670-9557
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/4/2023
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