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HEALTHYRX PHARMACY LLC
STD328087 Comprehensive Health Center, LLC
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Covered Entity Details
Entity Name
Comprehensive Health Center, LLC
Subdivision Name
Comprehensive Health Of Orlando
Type
Sexually Transmitted Diseases
340B ID
STD328087
Entity Address
1011 W Oakridge Road
Orlando, FL 32809
Grant Number
NH25P5004342-04-01
Participating Start Date
10/1/2018
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
HEALTHYRX PHARMACY LLC
Pharmacy Address
DBA-HEALTHYRX PHARMACY
650 NW 120TH ST
NORTH MIAMI, FL 33168
Pharmacy Comments
Contract Details
Approval Date
10/14/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary Ballantine, Executive Director
(305) 688-0811
Contract Pharmacy Representative
HEALTHYRX PHARMACY LLC
Sowjanya Shakhamoori, PHARMACIST
(813) 626-7353
Signed By Date
10/14/2021
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