Contract Pharmacy Details

PROCARE PHARMACY, L.L.C.
APLA HEALTH & WELLNESS

Covered Entity Details

Entity Name

APLA HEALTH & WELLNESS

Subdivision Name

APLA HEALTH - OLYMPIC #310

Type

Ryan White Part A

340B ID

Entity Address

5901 W. OLYMPIC BLVD.
STE 310
LOS ANGELES, CA 90036

Grant Number

H89HA00016

Participating Start Date

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

Contract Begin Date

7/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Craig E. Thompson, Chief Executive Officer
(213) 201-1456

Contract Pharmacy Representative

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

Signed By Date

4/15/2025

340B Drug Pricing Program Database