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KAASINDRA & COMPANY
STD335113 Doctor's Goodwill Foundation Inc
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Covered Entity Details
Entity Name
Doctor's Goodwill Foundation Inc
Subdivision Name
Santurce
Type
Sexually Transmitted Diseases
340B ID
STD335113
Entity Address
500 Vonderburg Dr #305E
Brandon, FL 33511
Grant Number
H25PS005131
Participating Start Date
8/21/2020
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
KAASINDRA & COMPANY
Pharmacy Address
DBA MEDICINE SHOPPE
216 OAKFIELD DR
BRANDON, FL 33511
Pharmacy Comments
Contract Details
Approval Date
8/5/2020
Contract Begin Date
8/21/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kantilal Bhalani, CEO
(321) 298-5531 Ext: 9414416212
Contract Pharmacy Representative
Medicine Shoppe
Bharat Patel, Owner
(813) 748-2521
Signed By Date
7/2/2020
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