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PROCARE PHARMACY, L.L.C.
STD069027 Anchor Health Initiative
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Covered Entity Details
Entity Name
Anchor Health Initiative
Subdivision Name
AHI Stamford
Type
Sexually Transmitted Diseases
340B ID
STD069027
Entity Address
30 Myano Lane
Suite 16
Stamford, CT 06902
Grant Number
6 NH25PS005155—05-03
Participating Start Date
7/1/2018
Last Recertification Date
5/20/2024
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
1/12/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Patricia Chadwick, CEO
(203) 674-1102
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/12/2023
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