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PROCARE PHARMACY, L.L.C.
CAH341318-00 East Carolina Health-Chowan, Inc. d/b/a ECU Health Chowan Hospital
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Covered Entity Details
Entity Name
East Carolina Health-Chowan, Inc. d/b/a ECU Health Chowan Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH341318-00
Entity Address
211 VIRGINIA Road
EDENTON, NC 27932
Medicare Provider Number
341318
Participating Start Date
10/1/2018
Last Recertification Date
8/23/2024
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
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Todd Jeffrey Warlitner, Vice President of Finance
(252) 449-4514
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/12/2023
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