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PROCARE PHARMACY, L.L.C.
CHC26583-00 NO/AIDS Task Force
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Covered Entity Details
Entity Name
NO/AIDS Task Force
Subdivision Name
CrescentCare - St. Roch
Type
HRSA-Funded Health Center
340B ID
CHC26583-00
Entity Address
1631 ELYSIAN FIELDS AVE
NEW ORLEANS, LA 70117-6051
Grant Number
H80CS26583
Participating Start Date
7/1/2014
Last Recertification Date
2/19/2025
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
Alice Riener, Chief Executive Officer
(504) 821-2601 Ext: 1001
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/17/2023
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