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RX ONE PHARMACY LLC
STD328091 Healthy MD Clinical, LLC (f.k.a. Independent Medical Group, LLC)
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Covered Entity Details
Entity Name
Healthy MD Clinical, LLC (f.k.a. Independent Medical Group, LLC)
Subdivision Name
Orlando
Type
Sexually Transmitted Diseases
340B ID
STD328091
Entity Address
130 E Marks St
Orlando, FL 32803
Grant Number
NH25PS004342-04-01
Participating Start Date
7/1/2020
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
RX ONE PHARMACY LLC
Pharmacy Address
RX ONE PHARMACY
717 W LANCASTER RD
ORLANDO, FL 32809-5994
Pharmacy Comments
Contract Details
Approval Date
5/6/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/13/2021
Ownership change
Contacts
Covered Entity Signing Official
Steve Vixamar, COO
(954) 529-1178
Contract Pharmacy Representative
Benzer Pharmacy
Mrugesh Amin, 340B & Business Development Specialist
(813) 304-2221 Ext: 264
Signed By Date
4/14/2020
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