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PROCARE PHARMACY, L.L.C.
PED453316-00 Children’s Medical Center Plano
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Covered Entity Details
Entity Name
Children’s Medical Center Plano
Subdivision Name
Type
Children's Hospital
340B ID
PED453316-00
Entity Address
7601 Preston Road
Plano, TX 75024-3214
Medicare Provider Number
453316
Participating Start Date
4/1/2017
Last Recertification Date
8/13/2024
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
1/6/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/20/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Robert S. Fries, Chief Financial Officer
(214) 456-8414
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/6/2023
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