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AZOF ENTERPRISES
STD34982 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
STD34982
Entity Address
356 E MIDWAY ROAD
FORT PIERCE, FL 34982
Grant Number
NH25PS005131
Participating Start Date
1/1/2018
Last Recertification Date
5/14/2024
Pharmacy Details
Pharmacy Name
AZOF ENTERPRISES
Pharmacy Address
PORT ST LUCIE DISCOUNT PHARMACY
1936 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Pharmacy Comments
Contract Details
Approval Date
10/12/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/31/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
Kathryn E Hayden, CFO
(772) 742-9276
Contract Pharmacy Representative
AZOF ENTERPRISES
Azubuike Ofokansi, Owner
(772) 446-9284
Signed By Date
10/12/2018
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