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SAFESCRIPT PHARMACY
STD328087 Comprehensive Health Center, LLC
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Covered Entity Details
Entity Name
Comprehensive Health Center, LLC
Subdivision Name
Comprehensive Health Of Orlando
Type
Sexually Transmitted Diseases
340B ID
STD328087
Entity Address
1011 W Oakridge Road
Orlando, FL 32809
Grant Number
NH25P5004342-04-01
Participating Start Date
10/1/2018
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
SAFESCRIPT PHARMACY
Pharmacy Address
RISSAN INC
211 N. MARKET ST
BUSHNELL, FL 33513-6021
Pharmacy Comments
Contract Details
Approval Date
7/8/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary Ballantine, Executive Director
(305) 688-0811
Contract Pharmacy Representative
Tej Gandhi
Tejas Gandhi, Owner
(352) 793-8000
Signed By Date
7/8/2021
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