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RITTER'S TOWNE PHARMACY
CH0423770 NORTHEAST FLORIDA HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
NORTHEAST FLORIDA HEALTH SERVICES, INC.
Subdivision Name
PIERSON Family Health Source
Type
HRSA-Funded Health Center
340B ID
CH0423770
Entity Address
216 N. FREDERICK ST.
PIERSON, FL 32180
Grant Number
H80CS02520
Participating Start Date
10/1/2004
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
RITTER'S TOWNE PHARMACY
Pharmacy Address
RITTER KENNETH MARLIN
120 E NEW YORK AVE
DELAND, FL 32724
Pharmacy Comments
Contract Details
Approval Date
10/14/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
KATHY WILKES, CEO
(386) 749-9449 Ext: 2118
Contract Pharmacy Representative
Kenneth Ritter, RPh/Owner
(386) 734-6666
Signed By Date
10/14/2013
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