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PHYSICIAN'S RX PHARMACY, LLC
STD342392 Orenda Health and Wellness
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Covered Entity Details
Entity Name
Orenda Health and Wellness
Subdivision Name
Solstice
Type
Sexually Transmitted Diseases
340B ID
STD342392
Entity Address
1219 S East Ave
204
Sarasota, FL 34239
Grant Number
H25PS005131
Participating Start Date
6/17/2021
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
PHYSICIAN'S RX PHARMACY, LLC
Pharmacy Address
PHYSICIANS RX PHARMACY, LLC
9701 APOLLO DRIVE
#400
LARGO, MD 20774
Pharmacy Comments
Contract Details
Approval Date
12/23/2021
Contract Begin Date
12/27/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Heather Dolan, CEO
(904) 349-2246 Ext: 9043492246
Contract Pharmacy Representative
Physicians Rx Pharmacy of Clinton
Chris Wakefield, Manager
(412) 357-5163
Signed By Date
12/23/2021
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