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PROCARE PHARMACY, L.L.C.
RWII02657B AIDS Support Group of Cape Cod, Inc.
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Covered Entity Details
Entity Name
AIDS Support Group of Cape Cod, Inc.
Subdivision Name
Type
Ryan White Part B
340B ID
RWII02657B
Entity Address
116 Bernard E St Jean
East Falmouth, MA 02536
Grant Number
X07HA00082
Participating Start Date
7/1/2020
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY #2971
350 LONGWOOD AVE., STE B
BOSTON, MA 02115
Pharmacy Comments
Contract Details
Approval Date
4/21/2023
Contract Begin Date
6/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paul E Goddu, CFO
(508) 487-9445
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/21/2023
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