Contract Pharmacy Details

PROCARE PHARMACY, L.L.C.
CH10002A ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC.

Covered Entity Details

Entity Name

ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC.

Subdivision Name

Anchorage Neighborhood Health Center, Inc.

Type

HRSA-Funded Health Center

340B ID

CH10002A

Entity Address

4951 Business Park Blvd
Anchorage, AK 99503-7174

Grant Number

H80CS00146

Participating Start Date

4/1/1999

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

PROCARE PHARMACY, L.L.C.

Pharmacy Address

DBA CVS/PHARMACY #2926
1001 MADISON ST.
SEATTLE, WA 98104

Pharmacy Comments

Contract Details

Approval Date

1/15/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Lisa DH Aquino, CEO
(907) 743-7305

Contract Pharmacy Representative

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

Signed By Date

1/15/2024

340B Drug Pricing Program Database