340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MAHEEM ENTERPRISE LLC
STD32907 Doctor's Goodwill Foundation
Print
Covered Entity Details
Entity Name
Doctor's Goodwill Foundation
Subdivision Name
Omni - Palm Bay Clinic
Type
Sexually Transmitted Diseases
340B ID
STD32907
Entity Address
6100 Minton Rd. NW
104
Palm Bay, FL 32907
Grant Number
5H25PS004342
Participating Start Date
1/1/2020
Last Recertification Date
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
MAHEEM ENTERPRISE LLC
Pharmacy Address
BABCOCK PHARMACY & SURGICALS
1515 PALM BAY RD STE 108
MELBOURNE, FL 32905
Pharmacy Comments
Contract Details
Approval Date
12/3/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kantilal Bhalani, CEO
(321) 298-5531 Ext: 9414416212
Contract Pharmacy Representative
Babcock Pharmacy & Surgicals
Devang Modi, Owner/Manager
(321) 499-3999
Signed By Date
10/14/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session