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SOLERA SPECIALTY PHARMACY, LLC
STD33308 Light Of Hope, Inc.
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Covered Entity Details
Entity Name
Light Of Hope, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33308
Entity Address
3012 E Commercial Blvd.
Fort Lauderdale, FL 33308
Grant Number
NH25PS004342
Participating Start Date
7/1/2019
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
SOLERA SPECIALTY PHARMACY, LLC
Pharmacy Address
SOLERA SPECIALTY PHARMACY
2100 PARK CENTRAL BLVD N STE 300
POMPANO BEACH, FL 33064-2219
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
1/17/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Stephen A Renae, Medical Director
(954) 776-9992 Ext: 100
Contract Pharmacy Representative
Solera Specialty Pharmacy
Richard Dougherty, COO
(877) 712-7864
Signed By Date
4/14/2019
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