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Contract Detail | PROGRESS PHARMACY INC | 8170 OKEECHOBEE BLVD STE 5 |
| WEST PALM BEACH | FL | 33411-2001 | 01/14/2025 | 04/01/2025 | | | 04/01/2025 |
Contract Detail | TOUCHPOINT RX, LLC | DBA PHARMCO RX 1002, LLC |
3208 2ND AVE N STE 4
| PALM SPRINGS | FL | 33461-3682 | 04/15/2025 | 07/01/2025 | | | 04/15/2025 |
Details | Last Recertification Date | Update | Recertification | | 5/8/2025 3:00:14 PM | 5/8/2025 3:00 PM |
Details | State | Update | | Approved | Active | 10/1/2024 12:01 AM |
Contacts | Signed By | Insert | New Registration | | Aden, Darmaan
CEO
Palm Beach ID Associates
8444072432 | 8/7/2024 9:06 AM |
Details | 340B ID | Update | New Registration | | STD334141 | 8/7/2024 9:06 AM |
Dates | Participating Approval Date | Update | New Registration | | 8/7/2024 9:06:00 AM | 8/7/2024 9:06 AM |
Details | State | Update | New Registration | Pending | Approved | 8/7/2024 9:06 AM |
Dates | Signed By Date | Update | New Registration | | 7/8/2024 12:48:06 PM | 8/7/2024 9:06 AM |
Dates | Start Date | Update | New Registration | | 10/1/2024 12:00:00 AM | 8/7/2024 9:06 AM |
Addresses | Main Address | Insert | New Registration | |
227 Professional Way
Wellington, FL 33414 | 7/8/2024 12:43 PM |
Details | Nature of Support: In Kind Support Description | Insert | New Registration | | Department of Health may provide technical assistance and/or administrative assistance or oversite as per our MOA | 7/8/2024 12:43 PM |
Details | Nature Of Support | Insert | New Registration | | In-Kind products or services (see note below; must have been purchased with section 318 funds) | 7/8/2024 12:43 PM |
Details | Nature of Support: Support Received From Date | Insert | New Registration | | 6/1/2024 12:00:00 AM | 7/8/2024 12:43 PM |
Details | Nature of Support: Support Received To Date | Insert | New Registration | | 5/31/2026 12:00:00 AM | 7/8/2024 12:43 PM |
Contacts | Primary Contact | Insert | New Registration | | Rashid, Bina
Medical Director
Palm Beach ID Associates
5613188440-201 | 7/8/2024 12:43 PM |
Contacts | Authorizing Official | Insert | New Registration | | Aden, Darmaan
CEO
Palm Beach ID Associates
8444072432 | 7/8/2024 12:43 PM |
Details | Assistance Received From Date | Insert | New Registration | | | 7/8/2024 12:43 PM |
Details | Assistance Received To Date | Insert | New Registration | | | 7/8/2024 12:43 PM |
Details | Last Recertification Date | Insert | New Registration | | | 7/8/2024 12:43 PM |
Details | Grant Number | Insert | New Registration | | nu62ps924633 | 7/8/2024 12:43 PM |
Details | 340B ID | Insert | New Registration | | | 7/8/2024 12:43 PM |
Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 7/8/2024 12:43 PM |
Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 7/8/2024 12:43 PM |
Details | Medicare Provider Number | Insert | New Registration | | | 7/8/2024 12:43 PM |
Details | Entity Name | Insert | New Registration | | Palm Beach ID Associates | 7/8/2024 12:43 PM |
Details | NOFO Number | Insert | New Registration | | ps18-1802 | 7/8/2024 12:43 PM |
Details | Program Code | Insert | New Registration | | STD | 7/8/2024 12:43 PM |
Details | Entity Subname | Insert | New Registration | | | 7/8/2024 12:43 PM |
Dates | Participating Approval Date | Insert | New Registration | | | 7/8/2024 12:43 PM |
Details | State | Insert | New Registration | | Pending | 7/8/2024 12:43 PM |
Dates | Registration Date | Insert | New Registration | | 7/8/2024 12:43:20 PM | 7/8/2024 12:43 PM |
Dates | Signed By Date | Insert | New Registration | | | 7/8/2024 12:43 PM |
Dates | Start Date | Insert | New Registration | | | 7/8/2024 12:43 PM |
Terminations | Termination Comments | Insert | New Registration | | | 7/8/2024 12:43 PM |
Terminations | Termination Date | Insert | New Registration | | | 7/8/2024 12:43 PM |
Terminations | Termination Effective Date | Insert | New Registration | | | 7/8/2024 12:43 PM |
Terminations | Termination Reason | Insert | New Registration | | | 7/8/2024 12:43 PM |