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PROCARE PHARMACY, L.L.C.
STD333192 IMG Helps Inc
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Covered Entity Details
Entity Name
IMG Helps Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD333192
Entity Address
6470 NW 5th Way
Fort Lauderdale, FL 33309
Grant Number
NU62PS924633f
Participating Start Date
7/1/2021
Last Recertification Date
5/6/2024
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
7/14/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steve Vixamar, COO
(954) 529-1178
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/14/2024
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