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LIVE & LET LIVE PHARMA LLC
STD331423 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
STD331423
Entity Address
6000 NW 12th Ave
Miami, FL 33142
Grant Number
5NU62PS924532-02
Participating Start Date
1/1/2020
Last Recertification Date
5/9/2024
Pharmacy Details
Pharmacy Name
LIVE & LET LIVE PHARMA LLC
Pharmacy Address
DBA-LIVE & LET LIVE PHARMACY
1455 NW 36TH ST STE 1
MIAMI, FL 33142
Pharmacy Comments
Contract Details
Approval Date
11/26/2019
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
Ravi Rx
Ravi Annamaneni, Pharmacy Owner
(848) 218-3530
Signed By Date
10/2/2019
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