340B Drug Pricing Program Database
CIRCLES OF CARE
CH043823A BREVARD HEALTH ALLIANCE INC., THE - information as of 6/16/2025 11:33:12 PM
Covered Entity Details
Entity Name
BREVARD HEALTH ALLIANCE INC., THE
Subdivision Name
BHA Melbourne Clinic
Type
HRSA-Funded Health Center
340B ID
CH043823A
Entity Address
17 Silver Palm Avenue
Melbourne, FL 32901-3123
Grant Number
H80CS04213
Participating Start Date
4/1/2005
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CIRCLES OF CARE
Pharmacy Address
1770 CEDAR ST
ROCKLEDGE, FL 32955-3290
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Austin Helton, CEO
(321) 241-6854
Contract Pharmacy Representative
Circles of Care
Lisa Bauman, Director of Pharmacy
(321) 914-4515
Signed By Date
10/15/2021
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