Contract Pharmacy Details

PROCARE PHARMACY, L.L.C.
CH09365Y CLINICAS DEL CAMINO REAL, INC.

Covered Entity Details

Entity Name

CLINICAS DEL CAMINO REAL, INC.

Subdivision Name

Clinicas del Camino Real Inc - El Rio

Type

HRSA-Funded Health Center

340B ID

CH09365Y

Entity Address

2600 E Vineyard Ave
Oxnard, CA 93036

Grant Number

H80CS00550

Participating Start Date

7/1/2010

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 Reid, 340B Program Director
(401) 770-2118

Signed By Date

7/13/2023

340B Drug Pricing Program Database