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PROCARE PHARMACY, L.L.C.
STD705031 Louisiana Gastroenterology Associates LLC
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Covered Entity Details
Entity Name
Louisiana Gastroenterology Associates LLC
Subdivision Name
LGA LLC
Type
Sexually Transmitted Diseases
340B ID
STD705031
Entity Address
1211 Coolidge Blvd Ste 303
Lafayette, LA 70503
Grant Number
NU62PS924522
Participating Start Date
7/1/2023
Last Recertification Date
5/10/2024
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
Maneesh Gupta, CEO
(337) 322-2147
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2025
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