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PROCARE PHARMACY, L.L.C.
STD331685 THE COMMUNITY HEALTH AND EMPOWERMENT NETWORK INC
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Covered Entity Details
Entity Name
THE COMMUNITY HEALTH AND EMPOWERMENT NETWORK INC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD331685
Entity Address
809 NW 119th Street
North Miami, FL 33168
Grant Number
NH25PS005131
Participating Start Date
3/14/2022
Last Recertification Date
5/29/2024
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
2/24/2023
Contract Begin Date
2/28/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/17/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Micaelle Titus, Executive Director
(786) 407-0308
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
2/24/2023
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