340B Drug Pricing Program Database
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RX-MART PHARMACY
STD328088 26Health, Inc.
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Covered Entity Details
Entity Name
26Health, Inc.
Subdivision Name
West Orange Nephrology, LLC
Type
Sexually Transmitted Diseases
340B ID
STD328088
Entity Address
828 Mercy dr
3
Orlando, FL 32808
Grant Number
1H25PS004342-02
Participating Start Date
1/1/2024
Last Recertification Date
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
RX-MART PHARMACY
Pharmacy Address
RX MART PHARMACY
665 STATE ROAD 207
STE 101
SAINT AUGUSTINE, FL 32084
Pharmacy Comments
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
David Baker-Hargrove, President/Co-CEO
(321) 800-2922
Contract Pharmacy Representative
rx-mart pharmacy
Nagesh Shakamoori, president
(904) 342-2162
Signed By Date
10/14/2019
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