340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PINE BROOK PHARMACY LLC.
CH04550J PREMIER COMMUNITY HEALTHCARE GROUP, INC.
Print
Covered Entity Details
Entity Name
PREMIER COMMUNITY HEALTHCARE GROUP, INC.
Subdivision Name
Hudson Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH04550J
Entity Address
11611 DENTON AVE
HUDSON, FL 34667-5420
Grant Number
H80CS00101
Participating Start Date
1/1/2016
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
PINE BROOK PHARMACY LLC.
Pharmacy Address
14111 CORTEZ BLVD
BROOKSVILLE, FL 34613
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joseph Resnick, CEO
(352) 518-2000 Ext: 9000
Contract Pharmacy Representative
Pinebrook Pharmacy
Gautam Thakkar, Owner
(813) 454-3500
Signed By Date
10/15/2020
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