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PROCARE PHARMACY, L.L.C.
CHC24107-02 Genesis Community Health, Inc.
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Covered Entity Details
Entity Name
Genesis Community Health, Inc.
Subdivision Name
Genesis Community Health- Boca Medical
Type
HRSA-Funded Health Center
340B ID
CHC24107-02
Entity Address
600 South Dixie Hwy
Suite 103
Boca Raton, FL 33432
Grant Number
H80CS24107
Participating Start Date
10/1/2017
Last Recertification Date
2/10/2025
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
10/5/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DeAnna Warren, Executive Director
(561) 806-6835 Ext: 201
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/5/2024
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