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PHARMA BUDDIES CORP
STD32822 Two Spirit Health Services, Inc.
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Covered Entity Details
Entity Name
Two Spirit Health Services, Inc.
Subdivision Name
PremCare Family Medical Center
Type
Sexually Transmitted Diseases
340B ID
STD32822
Entity Address
4501 S. Semoran Blvd
Orlando, FL 32822
Grant Number
1H25PS004342-02
Participating Start Date
7/1/2019
Last Recertification Date
Entity Termination Date
1/1/2020
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
5/14/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
David Baker-Hargrove, President/Co-CEO
(321) 800-2922
Contract Pharmacy Representative
Pharma Buddies Corp
Nagesh Shakhamoori, CEO
(877) 592-7988
Signed By Date
4/2/2019
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