340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PROCARE PHARMACY, L.L.C.
CAH341318-00 East Carolina Health-Chowan, Inc. d/b/a ECU Health Chowan Hospital
Print
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 #48611
141 PREBLE STREET
PORTLAND, ME 04101
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
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session