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CCN AMERICA, LP
STD322503 University of Florida CARES
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Covered Entity Details
Entity Name
University of Florida CARES
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD322503
Entity Address
570 Jacksonville Dr.
Jacksonville Beach, FL 32250
Grant Number
NH25PS005131
Participating Start Date
1/1/2020
Last Recertification Date
5/16/2022
Entity Termination Date
4/1/2023
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
Contract Termination Date
Termination Reason
4/1/2023
Covered Entity Terminated
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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