Pharmacy Details

BREVARD PHARMACY LLC - information as of 6/13/2025 3:26:21 PM

Name
BREVARD PHARMACY LLC

Address

'DBA' COMMUNITY DISCOUNT PHARMACY
401 BARTON BLVD
ROCKLEDGE, FL 32955

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	HV32935	UNCONDITIONAL LOVE, INC		Ryan White Part C	1495 N. HARBOR CITY BLVD		MELBOURNE	FL	10/01/2020	04/21/2023	4/24/2023 8:52 AM
Details	HV32935A	Unconditional Love, Inc.		Ryan White Part C	1509 N. Harbor City Blvd.	Administration	Melbourne	FL	04/01/2021	04/21/2023	4/24/2023 8:55 AM
Details	HV32935B	Unconditional Love, Inc.		Ryan White Part C	1513 N. Harbor City Blvd.	Administration	Melbourne	FL	04/01/2021	04/21/2023	4/24/2023 8:59 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			BREVARD PHARMACY LLC 'DBA' COMMUNITY DISCOUNT PHARMACY 401 BARTON BLVD ROCKLEDGE, FL 32955	11/19/2018 3:08 PM
Addresses	Pharmacy Address	Insert			BREVARD PHARMACY LLC 401 BARTON BLVD ROCKLEDGE, FL 32955	1/4/2018 11:00 AM
Addresses	Pharmacy Address	Insert			BREVARD PHARMACY LLC 6250 US HWY 1 NORTH COCOA, FL 32927	9/29/2017 6:44 AM
Details	Comments	Insert				3/7/2017 11:01 AM
Details	Is Deleted	Insert			False	3/7/2017 11:01 AM
Addresses	Pharmacy Address	Insert			BREVARD PHARMACY LLC 6250 US HWY 1 NORTH COCOA, FL 32927	3/7/2017 11:01 AM
Details	Name	Insert			BREVARD PHARMACY LLC	3/7/2017 11:01 AM