Contract Pharmacy Details

PROCARE PHARMACY, L.L.C.
STD700433 David L. Schneider, M.D., A.P.M.C.

Covered Entity Details

Entity Name

David L. Schneider, M.D., A.P.M.C.

Subdivision Name

David L. Schneider, M.D., A.P.M.C.

Type

Sexually Transmitted Diseases

340B ID

STD700433

Entity Address

2611 Jackson Blvd
Chalmette, LA 70043

Grant Number

5NU62PS924522

Participating Start Date

1/1/2024

Last Recertification Date

5/6/2024

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

4/14/2025

Contract Begin Date

7/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Adil Aryman Fatakia, MD
(504) 895-5357 Ext: 1

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

4/14/2025

340B Drug Pricing Program Database