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RX-MART PHARMACY
STD328101 Positive Assistance, Inc.
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Covered Entity Details
Entity Name
Positive Assistance, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD328101
Entity Address
5844 N Orange Blossom Trail
Orlando, FL 32810
Grant Number
5NU62PS924532-02
Participating Start Date
7/1/2019
Last Recertification Date
5/19/2020
Entity Termination Date
4/1/2021
Pharmacy Details
Pharmacy Name
RX-MART PHARMACY
Pharmacy Address
RX MART PHARMACY
665 STATE ROAD 207
STE 101
SAINT AUGUSTINE, FL 32084
Pharmacy Comments
Contract Details
Approval Date
7/12/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Andre Junior Antenor, President
(863) 242-3322
Contract Pharmacy Representative
RX-Mart Pharmacy
Billy Miller, CEO
(904) 342-2162
Signed By Date
7/12/2019
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