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PROCARE PHARMACY DIRECT, L.L.C.
CH02426A BronxCare Health Integrated Services System, Inc.
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Covered Entity Details
Entity Name
BronxCare Health Integrated Services System, Inc.
Subdivision Name
BronxCare Dr. Martin Luther King, Jr. Health Center
Type
HRSA-Funded Health Center
340B ID
CH02426A
Entity Address
1265 Franklin Avenue
BRONX, NY 10456-3501
Grant Number
H80CS00625
Participating Start Date
7/1/2007
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY DIRECT, L.L.C.
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
105 MALL BOULEVARD
MONROEVILLE, PA 15146
Pharmacy Comments
12/11/2009 - PHARMACY MOVED FROM 600 PENN CENTER BLVD., PITTSBURGH, PA 15235-5810 AND NAME CHANGE (WAS PROCARE PHARMACY DIRECT, INC DBA PHARMACARE SPECIALTY PHARMACY)
Contract Details
Approval Date
7/11/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/2/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
LIONEL P. STEWART, EXECUTIVE DIRECTOR
(718) 466-6072
Contract Pharmacy Representative
CVSHealth
Brad Carlson, Director, Health System Alliances
(781) 559-9636
Signed By Date
7/11/2017
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