340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CITI EXPRESS PHARMACY AND MEDICAL SUPPLI
STD330121 Doctors United Group Inc
Print
Covered Entity Details
Entity Name
Doctors United Group Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD330121
Entity Address
4212 W 16 AV
Hialeah, FL 33012
Grant Number
NH25PS004342
Participating Start Date
1/1/2020
Last Recertification Date
5/22/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
CITI EXPRESS PHARMACY AND MEDICAL SUPPLI
Pharmacy Address
4217 CHURCH AVE
BROOKLYN, NY 11203
Pharmacy Comments
Contract Details
Approval Date
7/10/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Augustine Carbon, President
(305) 206-6196
Contract Pharmacy Representative
Citi Express Pharmacy and Medical Supplies, LLC
Marlyjean Raymond-Joseph, Head pharmacist
(718) 355-8800
Signed By Date
7/10/2020
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