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WINN-DIXIE STORES, INC.
STD32780 Curative Care Center, Inc.
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Covered Entity Details
Entity Name
Curative Care Center, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD32780
Entity Address
1027 Garden St
Titusville, FL 32796
Grant Number
NH25PS004342
Participating Start Date
1/1/2019
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
WINN-DIXIE STORES, INC.
Pharmacy Address
PATHSTONE HEALTH SERVICES
5244 EDGEWOOD COURT, SUITE 2
JACKSONVILLE, FL 32254
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Andrea Adams, Director
(321) 505-0355
Contract Pharmacy Representative
winn-dixe stores inc
Vallery Huston, Pharamacy Director
(904) 370-5016
Signed By Date
7/15/2019
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