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DIPLOMAT SPECIALTY PHARMACY OF FT LAUDER
CH041660 Community Health Centers, Inc.
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Covered Entity Details
Entity Name
Community Health Centers, Inc.
Subdivision Name
COMMUNITY HEALTH CENTERS, INC.
Type
HRSA-Funded Health Center
340B ID
CH041660
Entity Address
110 S Woodland St
Winter Garden, FL 34787-3546
Grant Number
H80CS00809
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
DIPLOMAT SPECIALTY PHARMACY OF FT LAUDER
Pharmacy Address
DIPLOMAT SPECIALTY PHARMACY
15471 SW 12TH ST
STE 207
SUNRISE, FL 33326
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2021
Ownership change
Contacts
Covered Entity Signing Official
MARGARET BRENNAN, PRESIDENT/CEO
(407) 905-8827 Ext: 1060
Contract Pharmacy Representative
Diplomat Specialty Pharmacy
Matthew Cole, Pharmacist
(954) 527-0440
Signed By Date
10/15/2018
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