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PHARMA BUDDIES CORP
STD328351 Doctor's Goodwill Foundation Inc
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Covered Entity Details
Entity Name
Doctor's Goodwill Foundation Inc
Subdivision Name
Orlando Gastro
Type
Sexually Transmitted Diseases
340B ID
STD328351
Entity Address
1507 S Hiawassee Rd #105
Orlando, FL 32835
Grant Number
H25PS005131
Participating Start Date
7/1/2020
Last Recertification Date
5/10/2021
Entity Termination Date
7/1/2022
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
5/5/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2022
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
4/15/2020
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