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LORDONI DISCOUNT PHARMACY
STD32935 Doctor's Goodwill Foundation Inc
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Covered Entity Details
Entity Name
Doctor's Goodwill Foundation Inc
Subdivision Name
Medfast Melbourne
Type
Sexually Transmitted Diseases
340B ID
STD32935
Entity Address
2113 Sarno Rd
Melbourne, FL 32935
Grant Number
H25PS005131
Participating Start Date
4/1/2020
Last Recertification Date
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
LORDONI DISCOUNT PHARMACY
Pharmacy Address
LORDONI DISCOUNT PHARMACY
6300 N WICKHAM RD STE 126
MELBOURNE, FL 32940-3294
Pharmacy Comments
Contract Details
Approval Date
3/2/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kantilal Bhalani, CEO
(321) 298-5531 Ext: 9414416212
Contract Pharmacy Representative
Lordoni Discount Pharmacy
Olu Oni, Pharmacist in Charge
(321) 610-3117
Signed By Date
3/2/2020
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