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CH044245U Pancare of Florida Inc (Active)
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Main Details
Name
Pancare of Florida Inc
Subdivision Name
PanCare Health Malone
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029476
340B ID
CH044245U
Grant Number
H80CS06452
Additional Details
Current Program Status
Active
Registration Date
2/3/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/4/2020
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
5336 10th St
Malone, FL 32445-3429
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
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