340B Drug Pricing Program Database

Pharmacy Name

PROCARE PHARMACY, L.L.C.

Pharmacy Address

DBA CVS/PHARMACY #2923
3250 HARDEN ST. EXT. SUITE #300
COLUMBIA, SC 29203

Pharmacy Comments

Approval Date

5/25/2023

Contract Begin Date

6/1/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Anthony John Walko III, Chief Executive Officer
(201) 783-3126

Contract Pharmacy Representative

CVS
Alex Hazard, Account Manager
(315) 886-5406

Signed By Date

5/11/2023