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PRX INCORPORATED
STD33884 Community Care Resources Inc
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Covered Entity Details
Entity Name
Community Care Resources Inc
Subdivision Name
Community Care Resources of FL
Type
Sexually Transmitted Diseases
340B ID
STD33884
Entity Address
280 Patterson Road
Suite 3
Haines City, FL 33844
Grant Number
NH25PS005131
Participating Start Date
7/1/2020
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
PRX INCORPORATED
Pharmacy Address
PRX PHARMACY
5040 NW 7TH ST SUITE 470
MIAMI, FL 33126
Pharmacy Comments
Contract Details
Approval Date
3/12/2021
Contract Begin Date
3/12/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/12/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Victoria Barnhart, Director
(954) 362-5432
Contract Pharmacy Representative
PRX Incorporated
Francisco Urteaga, CEO
(305) 496-9038
Signed By Date
3/12/2021
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