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PROCARE PHARMACY DIRECT, L.L.C.
RRC420065-00 BON SECOURS ST. FRANCIS XAVIER HOSPI
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Covered Entity Details
Entity Name
BON SECOURS ST. FRANCIS XAVIER HOSPI
Subdivision Name
Type
Rural Referral Center
340B ID
RRC420065-00
Entity Address
2095 HENRY TECKLENBURG DRIVE
CHARLESTON, SC 29414
Medicare Provider Number
420065
Participating Start Date
7/1/2025
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
4/25/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rebecca Ann Tucker, SVP, Chief Financial Officer
(843) 727-3403
Contract Pharmacy Representative
Bon Secours Saint Francis Hospital
Louis Glavinos, 340B Pharmacy Manager and Oncology Outpatient Pharmacy Infusion Manager
(843) 402-1675
Signed By Date
4/23/2025
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