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PROCARE PHARMACY, L.L.C.
CH0438590 NEIGHBORHOOD IMPROVEMENT PROJECT, INC.
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Covered Entity Details
Entity Name
NEIGHBORHOOD IMPROVEMENT PROJECT, INC.
Subdivision Name
Medical Associates Plus @ Belle Terrace
Type
HRSA-Funded Health Center
340B ID
CH0438590
Entity Address
2467 Golden Camp Rd
Augusta, GA 30906-5515
Grant Number
H80CS08751
Participating Start Date
10/14/2008
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
PROCARE PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY OR CARELONRX SPECIALTY
ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULU, HI 96813
Pharmacy Comments
3/22/10 NAME CORRECTION (WAS CVS PROCARE PHARMACY DBA CVS PROCARE PHARMACY #2915) 3/17/10 ADDR CHANGE (WAS 970 N KALAHEO AVE, SUITE A 203)
Contract Details
Approval Date
4/6/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
J.R. Richards, CEO
(706) 790-4440 Ext: 105
Contract Pharmacy Representative
CVS HEALTH
Joan O'Rourke, VP Specialty Program Management
(847) 559-5282
Signed By Date
4/6/2017
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