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CHRG GROUP LLC
STD323012 MAACA - Minority Alliance for Advocating Community Awareness & Action
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Covered Entity Details
Entity Name
MAACA - Minority Alliance for Advocating Community Awareness & Action
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD323012
Entity Address
1375 Cross Creek Circle
B
Tallahassee, FL 32301
Grant Number
NH25PS005131
Participating Start Date
4/1/2020
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
CHRG GROUP LLC
Pharmacy Address
CARE PLUS PHARMACY
7310 STATE ROAD 52
HUDSON, FL 34667
Pharmacy Comments
Contract Details
Approval Date
7/6/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
sylvia hubbard, authorizing official
(850) 942-6222 Ext: 8502513426
Contract Pharmacy Representative
Little Road Pharmacy LLC
Ezzat Atalla, Manager
(727) 372-5222
Signed By Date
7/6/2020
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