Contract Pharmacy Details

PROCARE PHARMACY, L.L.C.
CH11355-00 FIRST CARE CLINIC, INC.

Covered Entity Details

Entity Name

FIRST CARE CLINIC, INC.

Subdivision Name

First Care Clinic, Inc.

Type

HRSA-Funded Health Center

340B ID

CH11355-00

Entity Address

105 W. 13th Street
Hays, KS 67601

Grant Number

H80CS12891

Participating Start Date

10/1/2016

Last Recertification Date

2/10/2025

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

7/5/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Eric C Flax, CEO
(785) 621-4990

Contract Pharmacy Representative

First Care Clinic
Eric C Flax, CEO
(785) 621-4990

Signed By Date

7/5/2023

340B Drug Pricing Program Database