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MEDLY MIAMI INC.
STD33016 Doctors United Group Inc
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Covered Entity Details
Entity Name
Doctors United Group Inc
Subdivision Name
Doctors United Group Inc hialeah
Type
Sexually Transmitted Diseases
340B ID
STD33016
Entity Address
2150 W 76th street
suite 100
hialeah, FL 33016
Grant Number
NH25PS004342
Participating Start Date
10/1/2021
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
MEDLY MIAMI INC.
Pharmacy Address
DBA MEDLY PHARMACY
2505 NW 54TH ST
MIAMI, FL 33142
Pharmacy Comments
Contract Details
Approval Date
10/8/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/22/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Augustine Carbon, President
(305) 788-0007
Contract Pharmacy Representative
Medley Pharmacy
Nate Coney, VP
(609) 992-9692
Signed By Date
10/8/2021
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