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MAHEEM ENTERPRISE LLC
STD32937 Doctor's Goodwill Foundation
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Covered Entity Details
Entity Name
Doctor's Goodwill Foundation
Subdivision Name
Omni - Indian Harbour Clinic
Type
Sexually Transmitted Diseases
340B ID
STD32937
Entity Address
2181 South Patrick Dr.
Indian Harbour Beach, FL 32937
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
12/4/2019
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
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