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PROCARE PHARMACY, L.L.C.
STD70005 The Rheumatology Group, LLC
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Covered Entity Details
Entity Name
The Rheumatology Group, LLC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD70005
Entity Address
111 Veterans Memorial Blvd.
Suite 404
Metairie, LA 70005
Grant Number
5NU62PS924522
Participating Start Date
10/1/2024
Last Recertification Date
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
1/15/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Austin Fraser, Physician Owner
(504) 899-1120
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2025
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