Contract Pharmacy Details

PROCARE PHARMACY, L.L.C.
CHC28976-00 COASTAL BEND WELLNESS FOUNDATION, INC.

Covered Entity Details

Entity Name

COASTAL BEND WELLNESS FOUNDATION, INC.

Subdivision Name

Coastal Bend Wellness Foundation

Type

HRSA-Funded Health Center

340B ID

CHC28976-00

Entity Address

2882 Holly Road
Corpus Christi, TX 78415-4106

Grant Number

H80CS28976

Participating Start Date

4/1/2016

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

PROCARE PHARMACY, L.L.C.

Pharmacy Address

DBA CVS/PHARMACY #2859
7950 FLOYD CURL DR. STE #106
SAN ANTONIO, TX 78229

Pharmacy Comments

Contract Details

Approval Date

4/14/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/15/2019
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Bill Hoelscher, CEO
(361) 814-2001 Ext: 222

Contract Pharmacy Representative

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

Signed By Date

4/14/2018

340B Drug Pricing Program Database