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PRIME THERAPEUTICS SPECIALTY PHARMACY LL
CH04805A BOND COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
BOND COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Bond Community Health Center (Main Site)
Type
HRSA-Funded Health Center
340B ID
CH04805A
Entity Address
1720 S. Gadsden Street
Tallahassee, FL 32301-5506
Grant Number
H80CS28957
Participating Start Date
1/1/2016
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
PRIME THERAPEUTICS SPECIALTY PHARMACY LL
Pharmacy Address
ALLIANCERX WALGREENS PRIME #16568
2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDO, FL 32819-9992
Pharmacy Comments
Contract Details
Approval Date
1/7/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/14/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Temple O. Robinson, CEO
(850) 576-4073 Ext: 207
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/7/2022
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