Contract Pharmacy Details

PROCARE PHARMACY, L.L.C.
CH09365E CLINICAS DEL CAMINO REAL, INC.

Covered Entity Details

Entity Name

CLINICAS DEL CAMINO REAL, INC.

Subdivision Name

Clinicas Del Camino Real, Inc. - Maravilla

Type

HRSA-Funded Health Center

340B ID

CH09365E

Entity Address

450 W.Clara Street
Oxnard, CA 93033-8363

Grant Number

H80CS00550

Participating Start Date

4/1/2008

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

7/13/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Robert Streeter, Chief Medical Officer
(805) 659-1740

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

7/13/2023

340B Drug Pricing Program Database