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PROCARE PHARMACY, L.L.C.
RRC230117-00 ASCENSION BORGESS HOSPITAL
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Covered Entity Details
Entity Name
ASCENSION BORGESS HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC230117-00
Entity Address
1521 GULL ROAD
KALAMAZOO, MI 49048
Medicare Provider Number
230117
Participating Start Date
1/1/2024
Last Recertification Date
8/20/2024
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
1/5/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael McCullough, CFO
(586) 753-0653
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/5/2024
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