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UNIVV INC
STD339016 Blue Star Health
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Covered Entity Details
Entity Name
Blue Star Health
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD339016
Entity Address
3660 Central Ave Unit 7
Fort Myers, FL 33901
Grant Number
NH25PS005131
Participating Start Date
4/1/2021
Last Recertification Date
5/15/2024
Pharmacy Details
Pharmacy Name
UNIVV INC
Pharmacy Address
LEHIGH PHARMACY
2814 LEE BLVD STE 1
LEHIGH ACRES, FL 33971-1561
Pharmacy Comments
Contract Details
Approval Date
2/23/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/15/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Fabio Ruiz, CEO
(866) 725-4642
Contract Pharmacy Representative
UNIVV INC
ANIL HARKHANI, President
(443) 366-4496
Signed By Date
1/15/2021
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