Contract Pharmacy Details

PROCARE PHARMACY, L.L.C.
RWI33136A University of Miami

Covered Entity Details

Entity Name

University of Miami

Subdivision Name

Pathway to Wellness Clinic

Type

Ryan White Part A

340B ID

RWI33136A

Entity Address

1120 NW 14th St
860
Miami, FL 33136

Grant Number

H89HA00005

Participating Start Date

1/1/2024

Last Recertification Date

2/20/2025

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

11/6/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Hansel Tookes, Assistant Professor of Clinical Medicine
(305) 243-1615

Contract Pharmacy Representative

Caremark L.L.C.
Christian reid, 340b Program Director
(401) 770-2118

Signed By Date

10/3/2023

340B Drug Pricing Program Database