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ARIA PHARMACY SERVICES, LLC
STD34240 Doctor's Goodwill Foundation Inc
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Covered Entity Details
Entity Name
Doctor's Goodwill Foundation Inc
Subdivision Name
University Family
Type
Sexually Transmitted Diseases
340B ID
STD34240
Entity Address
6731 Professional Pwk W
Sarasota, FL 34240
Grant Number
H25PS005131
Participating Start Date
7/1/2021
Last Recertification Date
5/11/2022
Entity Termination Date
10/1/2022
Pharmacy Details
Pharmacy Name
ARIA PHARMACY SERVICES, LLC
Pharmacy Address
FAMILYCARE DISCOUNT PHARMACY
3633 CORTEZ RD W STE B9
BRADENTON, FL 34210-3156
Pharmacy Comments
Contract Details
Approval Date
9/17/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kantilal Bhalani, CEO
(321) 298-5531 Ext: 9414416212
Contract Pharmacy Representative
Aria Pharmacy
Vishal Doshi, Pharmacist
(941) 914-9991
Signed By Date
9/17/2021
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