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PHARMA BUDDIES CORP
STD32809 Doctor's Goodwill Foundation
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Covered Entity Details
Entity Name
Doctor's Goodwill Foundation
Subdivision Name
Sandlake Medical Clinic
Type
Sexually Transmitted Diseases
340B ID
STD32809
Entity Address
1650 Sand Lake Rd.
112
Orlando, FL 32809
Grant Number
5H25PS004342
Participating Start Date
1/1/2020
Last Recertification Date
5/8/2023
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
PHARMA BUDDIES CORP
Pharmacy Address
ROSEMONT SPECIALTY PHARMACY
1727 ORLANDO CENTRAL PKWY
ORLANDO, FL 32809
Pharmacy Comments
Contract Details
Approval Date
4/2/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kantilal Bhalani, CEO
(321) 298-5531 Ext: 9414416212
Contract Pharmacy Representative
Pharma Buddies Corp
Nagesh Shakhamoori, CEO
(877) 592-7988
Signed By Date
4/2/2020
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