Contract Pharmacy Details

PROCARE PHARMACY, L.L.C.
STD37403 CHATTANOOGA C.A.R.E.S. DBA CEMPA COMMUNITY CARE

Covered Entity Details

Entity Name

CHATTANOOGA C.A.R.E.S. DBA CEMPA COMMUNITY CARE

Subdivision Name

CHATTANOOGA PRIMARY CARE CENTER

Type

Sexually Transmitted Diseases

340B ID

STD37403

Entity Address

1000 E. 3rd Street
Suite 300
Chattanooga, TN 37403

Grant Number

NU65PS923764

Participating Start Date

7/1/2016

Last Recertification Date

5/7/2025

Pharmacy Details

Pharmacy Name

PROCARE PHARMACY, L.L.C.

Pharmacy Address

DBA CVS/PHARMACY #11188
979 EAST THIRD STREET, STE 120
CHATTANOOGA, TN 37403

Pharmacy Comments

Contract Details

Approval Date

1/15/2018

Contract Begin Date

4/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/31/2022
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Shannon Stephenson, CEO
(423) 648-9911

Contract Pharmacy Representative

CVS
Kimberly Pirtle, Senior Professional Pharmacist Program Manager
(423) 680-1936

Signed By Date

1/15/2018

340B Drug Pricing Program Database