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GOLDEN ROCK RX
CH025320 FREDERIKSTED HEALTH CARE INC
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Covered Entity Details
Entity Name
FREDERIKSTED HEALTH CARE INC
Subdivision Name
FREDERIKSTED HEALTH CARE, INC. - Ingeborg Nesbitt
Type
HRSA-Funded Health Center
340B ID
CH025320
Entity Address
516 Strand St
Frederiksted, VI 00840-3533
Grant Number
H80CS00372
Participating Start Date
4/1/2001
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
GOLDEN ROCK RX
Pharmacy Address
VIRX, LLC
3000 GOLDEN ROCK SHOPPING CENTER, STE 1
CHRISTIANSTED, VI 00820-4311
Pharmacy Comments
Contract Details
Approval Date
1/13/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/17/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Masserae Sprauve Webster, Chief Executive Officer
(340) 772-1992 Ext: 2132
Contract Pharmacy Representative
Golden Rock Pharmacy
Colleen Goff, RPH
(340) 718-7666
Signed By Date
1/13/2021
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