340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
UNITED PHARMACY LLC
STD322504 Positive Health Alliance, Inc.
Print
Covered Entity Details
Entity Name
Positive Health Alliance, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD322504
Entity Address
91 12th Street South
Jacksonville Beach, FL 32250
Grant Number
NH25PS005131
Participating Start Date
8/18/2020
Last Recertification Date
Entity Termination Date
7/1/2021
Pharmacy Details
Pharmacy Name
UNITED PHARMACY LLC
Pharmacy Address
3951 N. HAVERHILL ROAD #300
SUITE 120-121
WEST PALM BEACH, FL 33417
Pharmacy Comments
Contract Details
Approval Date
8/13/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Gary G Kogan, Executive Director
(888) 752-2267
Contract Pharmacy Representative
UNITED PHARMACY
ANDY TRIGGS, MANAGER
(855) 445-4401 Ext: 121
Signed By Date
7/1/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session