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PHARMA BUDDIES CORP
STD32746 Doctor's Goodwill Foundation Inc
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Covered Entity Details
Entity Name
Doctor's Goodwill Foundation Inc
Subdivision Name
GGO Lake Mary
Type
Sexually Transmitted Diseases
340B ID
STD32746
Entity Address
795 Primera Blvd
Lake Mary, FL 32746
Grant Number
H25PS005131
Participating Start Date
9/29/2020
Last Recertification Date
5/5/2021
Entity Termination Date
1/1/2022
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
9/29/2020
Contract Begin Date
9/29/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
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
9/29/2020
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