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PROCARE PHARMACY, L.L.C.
CH04216A DAYSPRING HEALTH, INC.
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Covered Entity Details
Entity Name
DAYSPRING HEALTH, INC.
Subdivision Name
DAYSPRING JELLICO
Type
HRSA-Funded Health Center
340B ID
CH04216A
Entity Address
550 Sunset Trl
Jellico, TN 37762-2343
Grant Number
H80CS00716
Participating Start Date
10/1/1996
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY, L.L.C.
Pharmacy Address
CVS/PHARMACY #48637
2700 NORTHEAST EXPY NE STE B800
BUILDING B
ATLANTA, GA 30345
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lawrence Michael Rector, CEO
(423) 784-8492 Ext: 221
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/15/2024
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