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PROCARE PHARMACY, L.L.C.
STD331661 Doctors United Group
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Covered Entity Details
Entity Name
Doctors United Group
Subdivision Name
Orange Medical & Research
Type
Sexually Transmitted Diseases
340B ID
STD331661
Entity Address
5245 NW 36th Street
STE 5257
Miami Springs, FL 33166
Grant Number
NH25PS004342
Participating Start Date
12/12/2023
Last Recertification Date
5/5/2025
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
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Khadijah Carbon, Vice President
(305) 879-9749
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2024
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