340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PROCARE PHARMACY, L.L.C.
STD42078 Tri-Rivers Healthcare, PLLC
Print
Covered Entity Details
Entity Name
Tri-Rivers Healthcare, PLLC
Subdivision Name
Salem Medical Clinic
Type
Sexually Transmitted Diseases
340B ID
STD42078
Entity Address
141 Hospital Dr
Salem, KY 42078
Grant Number
NH25PS005135
Participating Start Date
1/1/2024
Last Recertification Date
5/9/2024
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
7/10/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael A Heneisen, Business Manager
(270) 988-3298
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/10/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session