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VASO RPH SOLUTION INC
CH04550Q PREMIER COMMUNITY HEALTHCARE GROUP, INC.
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Covered Entity Details
Entity Name
PREMIER COMMUNITY HEALTHCARE GROUP, INC.
Subdivision Name
Premier Community HealthCare Group, Inc. - Madison Ave
Type
HRSA-Funded Health Center
340B ID
CH04550Q
Entity Address
6906 Madison St
New Port Richey, FL 34652-1902
Grant Number
H80CS00101
Participating Start Date
10/1/2021
Last Recertification Date
2/1/2024
Entity Termination Date
10/1/2024
Pharmacy Details
Pharmacy Name
VASO RPH SOLUTION INC
Pharmacy Address
BELL PHARMACY 004
38008 NORTH AVE
ZEPHYRHILLS, FL 33542
Pharmacy Comments
Contract Details
Approval Date
7/13/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Joseph Resnick, CEO
(352) 518-2000 Ext: 9000
Contract Pharmacy Representative
RPH SOLUTION INC
Haresh Patel, Owner
(352) 567-2238
Signed By Date
7/2/2021
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