Contract Pharmacy Details

PROCARE PHARMACY, L.L.C.
CHC12892-00 ROCKING HORSE CENTER

Covered Entity Details

Entity Name

ROCKING HORSE CENTER

Subdivision Name

Type

HRSA-Funded Health Center

340B ID

CHC12892-00

Entity Address

651 SOUTH LIMESTONE STREET
SPRINGFIELD, OH 45505

Grant Number

H80CS12892

Participating Start Date

7/1/2009

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

7/13/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Kent Youngman, CEO
(937) 324-1111 Ext: 190

Contract Pharmacy Representative

Caremark LLC
Christina Reddi, Account Manager
(347) 380-3546

Signed By Date

7/13/2023

340B Drug Pricing Program Database