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CCN AMERICA, LP
STD33054 Community Life Support
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Covered Entity Details
Entity Name
Community Life Support
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33054
Entity Address
486-490 Fisherman Street,
Opalocka, FL 33054
Grant Number
NH25PS004342-04-01
Participating Start Date
1/1/2020
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
CCN AMERICA, LP
Pharmacy Address
COORDINATED CARE NETWORK PHARMACY
1500 W CYPRESS CREEK RD STE 203
FT LAUDERDALE, FL 33309
Pharmacy Comments
Contract Details
Approval Date
7/14/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
PIERRE R. BLEMUR, M.D.
(305) 688-5456
Contract Pharmacy Representative
Coordinated Care Network
Thomas J Pollack, President/CEO
(412) 349-6300
Signed By Date
7/14/2021
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