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PINES HEALTH MART PHARMACY
STD33181 Advanced Care Services, Inc
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Covered Entity Details
Entity Name
Advanced Care Services, Inc
Subdivision Name
J&C Healthcare Center
Type
Sexually Transmitted Diseases
340B ID
STD33181
Entity Address
1620 NE 148t Street
North Miami, FL 33181
Grant Number
5NU62PS92453202
Participating Start Date
1/1/2022
Last Recertification Date
5/8/2024
Pharmacy Details
Pharmacy Name
PINES HEALTH MART PHARMACY
Pharmacy Address
2301 N UNIVERSITY DR STE 112
PEMBROKE PINES, FL 33024-3617
Pharmacy Comments
Contract Details
Approval Date
11/17/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jose Ramon Rodriguez-Diaz, 340B Administrator
(939) 545-0522
Contract Pharmacy Representative
Pines Health Mart Pharmacy
Mohammed Arshad Ali, CEO
(954) 404-6610
Signed By Date
10/1/2021
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