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PROCARE PHARMACY, L.L.C.
STD066142 HEALTH CARE ADVOCATES INTERNATIONAL, INC
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Covered Entity Details
Entity Name
HEALTH CARE ADVOCATES INTERNATIONAL, INC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD066142
Entity Address
2595 Main St
STRATFORD, CT 06615
Grant Number
6 NH25PS005155-05-03
Participating Start Date
1/1/2018
Last Recertification Date
5/12/2024
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
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
GARY BLICK, CHIEF MEDICAL OFFICER
(203) 345-0404
Contract Pharmacy Representative
CVSHEALTH
ADAM J HORN, ACCOUNT MGR
(773) 610-9315
Signed By Date
1/17/2023
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