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VASO RPH SOLUTION INC
CH04550J PREMIER COMMUNITY HEALTHCARE GROUP, INC.
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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
VASO RPH SOLUTION INC
Pharmacy Address
BELL PHARMACY 004
38008 NORTH AVE
ZEPHYRHILLS, FL 33542
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
RPH SOLUTION INC
Haresh Patel, Owner
(352) 567-2238
Signed By Date
10/15/2020
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