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PROCARE PHARMACY, L.L.C.
CAN050146-00 CITY OF HOPE NATIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
CITY OF HOPE NATIONAL MEDICAL CENTER
Subdivision Name
Type
Free Standing Cancer Hospital
340B ID
CAN050146-00
Entity Address
1500 E. DUARTE ROAD
DUARTE, CA 91010
Medicare Provider Number
050146
Participating Start Date
9/1/2010
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY
1010 UNIVERSITY AVENUE
SAN DIEGO, CA 92103
Pharmacy Comments
Contract Details
Approval Date
7/17/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Wafa Samara, CPO
(626) 218-4936
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/17/2023
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