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CURANT HEALTH FLORIDA, LLC
HV0413130D Montgomery AIDS Outreach, Inc
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Covered Entity Details
Entity Name
Montgomery AIDS Outreach, Inc
Subdivision Name
Dental Clinic
Type
Ryan White Part C
340B ID
HV0413130D
Entity Address
3052 McGehee Road
Montgomery, AL 36111
Grant Number
H76HA00099
Participating Start Date
7/1/2019
Last Recertification Date
1/31/2022
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
CURANT HEALTH FLORIDA, LLC
Pharmacy Address
11001 ROOSEVELT BLVD STE 1400
ST PETERSBURG, FL 33716-2338
Pharmacy Comments
7/12/2010 - PHARMACY MOVED FROM 7205 BRYAN DAIRY ROAD.
Contract Details
Approval Date
7/17/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Michael R. Murphree, Chief Executive Officer
(334) 280-3349 Ext: 1001
Contract Pharmacy Representative
MAO
Ashley M. Tarrant, Interim CEO
(334) 386-0854
Signed By Date
7/17/2019
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