Contract Pharmacy Details

PROCARE PHARMACY, L.L.C.
FQHCLA407M Metropolitan Charities, Inc.

Covered Entity Details

Entity Name

Metropolitan Charities, Inc.

Subdivision Name

METRO South St. Pete

Type

Health Center Program Look-Alike

340B ID

FQHCLA407M

Entity Address

2116 34th St S
Saint Petersburg, FL 33711-3224

Grant Number

LALCS35348

Participating Start Date

12/21/2023

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

PROCARE PHARMACY, L.L.C.

Pharmacy Address

NAVARRO SPECIALTY SERVICES # 10727
7205 CORPORATE CENTER DRIVE
SUITE 104
MIAMI, FL 33126

Pharmacy Comments

Contract Details

Approval Date

12/28/2023

Contract Begin Date

12/28/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Priya Rajkumar, Chief Executive Officer
(727) 321-3854 Ext: 1230

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

12/28/2023

340B Drug Pricing Program Database