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CARENOW PHARMACY LLC
STD32164 Doctor's Goodwill Foundation Inc
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Covered Entity Details
Entity Name
Doctor's Goodwill Foundation Inc
Subdivision Name
Ygeia Medical Institute
Type
Sexually Transmitted Diseases
340B ID
STD32164
Entity Address
145 Cypress Point Pkwy #105
Palm Coast, FL 32164
Grant Number
H25PS005131
Participating Start Date
1/1/2021
Last Recertification Date
5/3/2021
Entity Termination Date
10/1/2021
Pharmacy Details
Pharmacy Name
CARENOW PHARMACY LLC
Pharmacy Address
DBA-CARENOW PHARMACY
1039 HARLEY STRICKLAND BLVD STE 600
ORANGE CITY, FL 32763
Pharmacy Comments
Contract Details
Approval Date
1/7/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kantilal Bhalani, CEO
(321) 298-5531 Ext: 9414416212
Contract Pharmacy Representative
CareNow
Sam Patel, Owner
(561) 601-6255
Signed By Date
1/7/2021
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