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PROCARE PHARMACY, L.L.C.
CHC33657-00 Highland Health Providers Corporation
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Covered Entity Details
Entity Name
Highland Health Providers Corporation
Subdivision Name
Highland Health Providers - Lynchburg Medical Center
Type
HRSA-Funded Health Center
340B ID
CHC33657-00
Entity Address
8900 State Route 134
Lynchburg, OH 45142
Grant Number
H80CS33657
Participating Start Date
4/1/2020
Last Recertification Date
2/12/2025
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
4/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Meghann Ackley, Chief Financial Officer
(937) 840-6617
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/17/2023
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