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PINES HEALTH MART PHARMACY
STD334833 Medical Essentials, LLC
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Covered Entity Details
Entity Name
Medical Essentials, LLC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD334833
Entity Address
306 W Mango Street
Lantana, FL 33462
Grant Number
5NU62PS92453202
Participating Start Date
10/1/2021
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
PINES HEALTH MART PHARMACY
Pharmacy Address
2301 N UNIVERSITY DR STE 112
PEMBROKE PINES, FL 33024-3617
Pharmacy Comments
Contract Details
Approval Date
8/26/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jose Ramon Rodriguez-Diaz, 340B Administrator
(939) 545-0522
Contract Pharmacy Representative
Pines Health Mart Pharmacy
Mohammed Arshad Ali, CEO
(954) 404-6610
Signed By Date
7/1/2021
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