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PROCARE PHARMACY, L.L.C.
STD334622 Life Resources, LLC
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Covered Entity Details
Entity Name
Life Resources, LLC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD334622
Entity Address
5401 South Congress Ave
201
Atlantis, FL 33462
Grant Number
NH25PS004342
Participating Start Date
1/1/2025
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
4/4/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jon Craig Arenstein, CEO/President
(561) 234-6599
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/4/2025
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