Contract Pharmacy Details

RX-MART PHARMACY
STD32825 26Health, Inc.

Covered Entity Details

Entity Name

26Health, Inc.

Subdivision Name

Digestive and Liver Center of Florida

Type

Sexually Transmitted Diseases

340B ID

STD32825

Entity Address

100 N. Dean RD
Ste 101
Orlando, FL 32803

Grant Number

1H25PS00432-02

Participating Start Date

10/1/2018

Last Recertification Date

5/17/2021

Entity Termination Date

1/1/2022

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
Covered Entity Terminated

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

340B Drug Pricing Program Database