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PROCARE PHARMACY, L.L.C.
RWI60613 Center on Halsted
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Covered Entity Details
Entity Name
Center on Halsted
Subdivision Name
Center on Halsted
Type
Ryan White Part A
340B ID
RWI60613
Entity Address
3656 North Halsted Street
Chicago, IL 60613
Grant Number
H89HA00008
Participating Start Date
7/1/2022
Last Recertification Date
2/25/2025
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
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Editha Paras, Interim Chief Executive Officer
(773) 472-6469
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/16/2023
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