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PROCARE PHARMACY, L.L.C.
FQHCLA350 COMMUNITY ACCESS NETWORK, INC.
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Covered Entity Details
Entity Name
COMMUNITY ACCESS NETWORK, INC.
Subdivision Name
Park View
Type
Health Center Program Look-Alike
340B ID
FQHCLA350
Entity Address
2420 Memorial Ave
Lynchburg, VA 24501
Grant Number
LALCS31106
Participating Start Date
10/1/2017
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
5/4/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christina Delzingaro, CEO
(434) 200-3366
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
5/4/2023
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