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RX CARE FOUR LLC
STD329071 Doctor's Goodwill Foundation
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Covered Entity Details
Entity Name
Doctor's Goodwill Foundation
Subdivision Name
Malabar Medical Clinic
Type
Sexually Transmitted Diseases
340B ID
STD329071
Entity Address
1663 Georgia St. NE
400
Palm Pay, FL 32907
Grant Number
5H25PS004342
Participating Start Date
1/1/2020
Last Recertification Date
5/8/2023
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
RX CARE FOUR LLC
Pharmacy Address
PALM BAY PHARMACY
1270 MALABAR RD SE STE 2
PALM BAY, FL 32907-3407
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
7/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kantilal Bhalani, CEO
(321) 298-5531 Ext: 9414416212
Contract Pharmacy Representative
Palm Bay Pharmacy
Alpesh Patel, Owner
(321) 952-0656
Signed By Date
9/17/2021
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