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CH0442450 PANCARE OF FLORIDA INC (Terminated)
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Main Details
Name
PANCARE OF FLORIDA INC
Subdivision Name
DBA CHC-BAY COUNTY
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017645
340B ID
CH0442450
Grant Number
H80CS06452
Additional Details
Current Program Status
Terminated
Registration Date
5/2/2006
Participating Start Date
7/1/2006
Participating Approval Date
5/3/2006
Last Recertification Date
2/3/2022
Termination Date
Termination Reason
10/1/2022
Other
Contacts
Authorizing Official
PanCare of Florida, Inc.
Michael R. Hill, President/CEO
(850) 747-5599
Primary Contact
PanCare of Florida, Inc.
Robert Thompson, CEO
(850) 747-5599
Addresses
Street Address
403 EAST 11th STREET
PANAMA CITY, FL 32401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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