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CURANT HEALTH FLORIDA, LLC
HV24741 MaineGeneral Medical Center
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Covered Entity Details
Entity Name
MaineGeneral Medical Center
Subdivision Name
Horizon Program
Type
Ryan White Part C
340B ID
HV24741
Entity Address
21 Enterprise Drive
Augusta, ME 04330
Grant Number
H76HA24741
Participating Start Date
1/1/2014
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
CURANT HEALTH FLORIDA, LLC
Pharmacy Address
11001 ROOSEVELT BLVD STE 1400
ST PETERSBURG, FL 33716-2338
Pharmacy Comments
7/12/2010 - PHARMACY MOVED FROM 7205 BRYAN DAIRY ROAD.
Contract Details
Approval Date
12/10/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/15/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Megan Evans, Medical Director
(207) 626-1051
Contract Pharmacy Representative
Curant
Vernisha Hammonds, 340B Compliance Specialist
(770) 437-8040 Ext: 225
Signed By Date
12/10/2020
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