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CAREMARK KANSAS SPECIALTY PHARMACY
STD331362 University of Miami PrEP Clinic
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Covered Entity Details
Entity Name
University of Miami PrEP Clinic
Subdivision Name
Mobile Wellness Unit
Type
Sexually Transmitted Diseases
340B ID
STD331362
Entity Address
1951 NW 7th avenue
480
Miami, FL 33136
Grant Number
6-NU62PS924532-03-02
Participating Start Date
10/1/2018
Last Recertification Date
5/12/2025
Pharmacy Details
Pharmacy Name
CAREMARK KANSAS SPECIALTY PHARMACY
Pharmacy Address
CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
11162 RENNER BLVD
LENEXA, KS 66219
Pharmacy Comments
Contract Details
Approval Date
10/20/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Susanne Doblecki-Lewis, Professor of Clinical Medicine and Chief, Division of Infectious Diseases
(305) 243-7652
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/20/2021
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