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KTJ ENTERPRISES LLC
STD34952 Midway Specialty Care Center Inc
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Covered Entity Details
Entity Name
Midway Specialty Care Center Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD34952
Entity Address
1801 SE Hillmoor Drive
Ste C207
Port St Lucie, FL 34952
Grant Number
NH25PS005131
Participating Start Date
10/1/2018
Last Recertification Date
5/14/2024
Pharmacy Details
Pharmacy Name
KTJ ENTERPRISES LLC
Pharmacy Address
PRESCRIPTION SHOP OF STUART
622 COLORADO AVE
D B A PRESCRIPTION SHOP STUART
STUART, FL 34994-3016
Pharmacy Comments
Contract Details
Approval Date
10/10/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kathryn E Hayden, CFO
(772) 742-9276
Contract Pharmacy Representative
KTJ Enterprises LLC
Kim Jones, Owner
(772) 287-3443
Signed By Date
10/10/2019
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