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AVIVA CARE PHARMACY LLC
STD331422 New Horizons Community Mental Health Center, Inc.
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Covered Entity Details
Entity Name
New Horizons Community Mental Health Center, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD331422
Entity Address
1499 NW 36th Street
Miami, FL 33142
Grant Number
5NU62PS924532-02
Participating Start Date
1/1/2020
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
AVIVA CARE PHARMACY LLC
Pharmacy Address
2053 N. UNIVERSITY DR.
SUNRISE, FL 33322-3936
Pharmacy Comments
Contract Details
Approval Date
11/20/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jerry Rodriguez, Chief of Operations
(305) 506-5219
Contract Pharmacy Representative
Aviva Care Pharmcay
Berioska Soso, Vice President
(954) 451-5578
Signed By Date
10/2/2019
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