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EXCEL PHARMACY PARTNERS 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
EXCEL PHARMACY PARTNERS LLC
Pharmacy Address
DBA: STAT PHARMACY
6817 SOUTHPOINT PKWY STE 2204
JACKSONVILLE, FL 32216-8200
Pharmacy Comments
Contract Details
Approval Date
7/10/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/23/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Stephen A Renae, Medical Director
(954) 776-9992 Ext: 100
Contract Pharmacy Representative
Excel Pharmacy Partners, LLC
Roy Principe, Pharmacist
(904) 800-2285
Signed By Date
7/10/2019
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