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PROCARE PHARMACY, L.L.C.
STD23231 Nationz Foundation Inc.
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Covered Entity Details
Entity Name
Nationz Foundation Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD23231
Entity Address
1603 Santa Rosa Rd.
101
Richmond, VA 23229
Grant Number
NH25PS005137
Participating Start Date
12/2/2022
Last Recertification Date
5/6/2025
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
Zakia McKensey, Executive Director
(804) 218-4273
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/16/2023
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