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PROCARE PHARMACY, L.L.C.
CHC12863-00 St. Thomas Community Health Center, Inc.
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Covered Entity Details
Entity Name
St. Thomas Community Health Center, Inc.
Subdivision Name
St Thomas CHC at 1936-1938 Magazine Street
Type
HRSA-Funded Health Center
340B ID
CHC12863-00
Entity Address
1936 Magazine St
New Orleans, LA 70130
Grant Number
H80CS12863
Participating Start Date
1/1/2012
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY OR CARELONRX SPECIALTY
ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULU, HI 96813
Pharmacy Comments
3/22/10 NAME CORRECTION (WAS CVS PROCARE PHARMACY DBA CVS PROCARE PHARMACY #2915) 3/17/10 ADDR CHANGE (WAS 970 N KALAHEO AVE, SUITE A 203)
Contract Details
Approval Date
4/14/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donald Erwin, CEO
(504) 529-5558
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2023
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