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CH044245M PANCARE OF FLORIDA INC (Active)
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Main Details
Name
PANCARE OF FLORIDA INC
Subdivision Name
PanCare - Bonifay
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013714
340B ID
CH044245M
Grant Number
H80CS06452
Additional Details
Current Program Status
Active
Registration Date
7/15/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/22/2014
Last Recertification Date
2/25/2025
Contacts
Authorizing Official
PanCare of Florida, Inc.
Robert Thompson, CEO
(850) 747-5599
Primary Contact
PanCare of Florida, Inc.
Lori Barton, Pharmacy Director
(850) 818-0455
Addresses
Street Address
495 SAINT JOHNS RD
BONIFAY, FL 32425-4237
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
May 2025
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