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PROCARE PHARMACY, L.L.C.
CHC30716-00 KNOX, COUNTY OF
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Covered Entity Details
Entity Name
KNOX, COUNTY OF
Subdivision Name
Danville Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC30716-00
Entity Address
12 East Main Street
Danville, OH 43014
Grant Number
H80CS30716
Participating Start Date
4/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY OR CARELONRX SPECIALTY
ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULU, HI 96813
Pharmacy Comments
3/22/10 NAME CORRECTION (WAS CVS PROCARE PHARMACY DBA CVS PROCARE PHARMACY #2915) 3/17/10 ADDR CHANGE (WAS 970 N KALAHEO AVE, SUITE A 203)
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lane K Belangia, CEO
(740) 392-2222 Ext: 2275
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/14/2024
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