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CCN AMERICA, LP
STD322041 University of Florida CARES Rainbow
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Covered Entity Details
Entity Name
University of Florida CARES Rainbow
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD322041
Entity Address
555 Stockton St.
Jacksonville, FL 32204
Grant Number
NH25PS005131
Participating Start Date
1/1/2020
Last Recertification Date
5/16/2022
Entity Termination Date
1/1/2023
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
1/1/2023
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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