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PHARMA BUDDIES CORP
STD328067 Midway Specialty Care Center
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Covered Entity Details
Entity Name
Midway Specialty Care Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD328067
Entity Address
6000 Turkey Lake Road
Unit 110
Orlando, FL 32819
Grant Number
NH25PS005131
Participating Start Date
1/1/2019
Last Recertification Date
5/8/2025
Pharmacy Details
Pharmacy Name
PHARMA BUDDIES CORP
Pharmacy Address
ROSEMONT SPECIALTY PHARMACY
1727 ORLANDO CENTRAL PKWY
ORLANDO, FL 32809
Pharmacy Comments
Contract Details
Approval Date
11/21/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/14/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kathryn E Hayden, CFO
(772) 742-9276
Contract Pharmacy Representative
Pharma Buddies Corp
Nagesh Shakhamoori, CEO
(877) 592-7988
Signed By Date
10/12/2018
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