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PROCARE PHARMACY, L.L.C.
STD347419 Positive Assistance, Inc.
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Covered Entity Details
Entity Name
Positive Assistance, Inc.
Subdivision Name
NU HEALTHCARE INC.
Type
Sexually Transmitted Diseases
340B ID
STD347419
Entity Address
1016 Mann St
Kissimmee, FL 34741
Grant Number
5NU62PS924532-02
Participating Start Date
7/1/2023
Last Recertification Date
5/20/2024
Entity Termination Date
7/1/2025
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
4/12/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Andre J Antenor, President
(863) 242-3322
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/12/2024
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