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PHARMA BUDDIES CORP
RW4424788A Florida Department of Health
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Covered Entity Details
Entity Name
Florida Department of Health
Subdivision Name
Orange County Health Department - Lila Mitchell Clinic
Type
Ryan White Part D
340B ID
RW4424788A
Entity Address
5151 Raleigh Street
Orlando, FL 32811
Grant Number
H12HA24788
Participating Start Date
1/1/2022
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
PHARMA BUDDIES CORP
Pharmacy Address
ROSEMONT SPECIALTY PHARMACY
1727 ORLANDO CENTRAL PKWY
ORLANDO, FL 32809
Pharmacy Comments
Contract Details
Approval Date
10/13/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dr. Thomas Roy Prince, Medical Director
(407) 723-5072
Contract Pharmacy Representative
Pharma Buddies Corp
Nagesh Shakhamoori, CEO
(877) 592-7988
Signed By Date
10/12/2021
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