340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PROCARE PHARMACY, L.L.C.
CAH151327-00 Sullivan County Community Hospital
Print
Covered Entity Details
Entity Name
Sullivan County Community Hospital
Subdivision Name
SULLIVAN COUNTY COMMUNITY HOSPITAL
Type
Critical Access Hospital
340B ID
CAH151327-00
Entity Address
2200 NORTH SECTION STREET
SULLIVAN, IN 47882
Medicare Provider Number
151327
Participating Start Date
9/29/2010
Last Recertification Date
8/27/2024
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
4/11/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MICHELLE FRANKLIN, CHIEF EXECUTIVE OFFICER
(812) 268-4311 Ext: 2372
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/11/2025
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session