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CCN AMERICA, LP
STD322091 University of Florida
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Covered Entity Details
Entity Name
University of Florida
Subdivision Name
University of Florida CARES CMS
Type
Sexually Transmitted Diseases
340B ID
STD322091
Entity Address
910 N. Jefferson St.
Jacksonville, FL 32209
Grant Number
NH25PS005131
Participating Start Date
1/1/2020
Last Recertification Date
5/19/2024
Pharmacy Details
Pharmacy Name
CCN AMERICA, LP
Pharmacy Address
COORDINATED CARE NETWORK PHARMACY
1500 W CYPRESS CREEK RD STE 203
FT LAUDERDALE, FL 33309
Pharmacy Comments
Contract Details
Approval Date
4/8/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tina M. Bottini, Senior Asst. Dean, Research
(904) 244-9478
Contract Pharmacy Representative
Coordinated Care Network
Thomas J Pollack, President/CEO
(412) 349-6300
Signed By Date
4/8/2020
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