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PROCARE PHARMACY DIRECT, L.L.C.
West Alabama AIDS Outreach dba Five Horizons Health Services
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Covered Entity Details
Entity Name
West Alabama AIDS Outreach dba Five Horizons Health Services
Subdivision Name
Five Horizons Health Services
Type
Sexually Transmitted Diseases
340B ID
Entity Address
1926 23rd Avenue
Meridian, MS 39302
Grant Number
NH25PS005147
Participating Start Date
Last Recertification Date
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY DIRECT, L.L.C.
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
105 MALL BOULEVARD
MONROEVILLE, PA 15146
Pharmacy Comments
12/11/2009 - PHARMACY MOVED FROM 600 PENN CENTER BLVD., PITTSBURGH, PA 15235-5810 AND NAME CHANGE (WAS PROCARE PHARMACY DIRECT, INC DBA PHARMACARE SPECIALTY PHARMACY)
Contract Details
Approval Date
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Will Rainer, Chief Compliance Officer
(659) 734-2319
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2025
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