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PROCARE PHARMACY, L.L.C.
CHC24151-00 SAMUEL DIXON FAMILY HEALTH CEN
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Covered Entity Details
Entity Name
SAMUEL DIXON FAMILY HEALTH CEN
Subdivision Name
Newhall Health Center
Type
HRSA-Funded Health Center
340B ID
CHC24151-00
Entity Address
23772 Newhall Avenue
Newhall, CA 91321
Grant Number
H80CS24151
Participating Start Date
4/1/2013
Last Recertification Date
2/11/2025
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
7/16/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Philip Solomon, EXECUTIVE DIRECTOR
(661) 257-2339 Ext: 307
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/16/2024
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