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PREVENT RX 3, LLC
STD32803 26Health, Inc.
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Covered Entity Details
Entity Name
26Health, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD32803
Entity Address
801 N. Magnolia Ave., Ste 402
Orlando, FL 32803
Grant Number
NH25PS005131
Participating Start Date
10/5/2023
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
PREVENT RX 3, LLC
Pharmacy Address
DBA ADVANCECARE FT. LAUDERDALE
2372 WILTON DR
WILTON MANORS, FL 33305
Pharmacy Comments
Contract Details
Approval Date
10/13/2021
Contract Begin Date
10/14/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
David Baker-Hargrove, President/Co-CEO
(321) 800-2922
Contract Pharmacy Representative
Physicians Rx Pharmacy of Clinton
Chris Wakefield, Manager
(412) 357-5163
Signed By Date
10/13/2021
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