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PILLS, POTIONS & LOTIONS, INC
STD34952 Midway Specialty Care Center Inc
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Covered Entity Details
Entity Name
Midway Specialty Care Center Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD34952
Entity Address
1801 SE Hillmoor Drive
Ste C207
Port St Lucie, FL 34952
Grant Number
NH25PS005131
Participating Start Date
10/1/2018
Last Recertification Date
5/14/2024
Pharmacy Details
Pharmacy Name
PILLS, POTIONS & LOTIONS, INC
Pharmacy Address
DBA CROSSTOWN PHARMACY
8701 S US HIGHWAY 1
PORT ST LUCIE, FL 34952-3333
Pharmacy Comments
Contract Details
Approval Date
4/13/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kathryn E Hayden, CFO
(772) 742-9276
Contract Pharmacy Representative
Benzer Pharmacy
Lydell Morrison, CEO
(772) 333-2728
Signed By Date
4/13/2019
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