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RX-MART PHARMACY
STD3280421 26Health, Inc
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Covered Entity Details
Entity Name
26Health, Inc
Subdivision Name
Digestive and Liver Center of Florida
Type
Sexually Transmitted Diseases
340B ID
STD3280421
Entity Address
721 W. Colonial Dr.
Orlando, FL 32804
Grant Number
1H25PS004342-02
Participating Start Date
1/1/2022
Last Recertification Date
Entity Termination Date
4/1/2022
Pharmacy Details
Pharmacy Name
RX-MART PHARMACY
Pharmacy Address
RX MART PHARMACY
665 STATE ROAD 207
STE 101
SAINT AUGUSTINE, FL 32084
Pharmacy Comments
Contract Details
Approval Date
11/17/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
David Baker-Hargrove, President/Co-CEO
(321) 800-2922
Contract Pharmacy Representative
Pharma Buddies Corp
Nagesh Shakhamoori, CEO
(877) 592-7988
Signed By Date
10/14/2021
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