Contract Pharmacy Details

RX-MART PHARMACY
STD344714 26Health, Inc.

Covered Entity Details

Entity Name

26Health, Inc.

Subdivision Name

7 Hills Gatroenterology

Type

Sexually Transmitted Diseases

340B ID

STD344714

Entity Address

3256 S. Pine Ave.
Ocala, FL 34471

Grant Number

1H25PS00432-02

Participating Start Date

10/1/2018

Last Recertification Date

5/17/2021

Entity Termination Date

4/1/2022

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
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

340B Drug Pricing Program Database