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HEALTH-RITE PHARMACY
STD330121 Doctors United Group Inc
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Covered Entity Details
Entity Name
Doctors United Group Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD330121
Entity Address
4212 W 16 AV
Hialeah, FL 33012
Grant Number
NH25PS004342
Participating Start Date
1/1/2020
Last Recertification Date
5/22/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
HEALTH-RITE PHARMACY
Pharmacy Address
HEALTH-RITE PHARMACY
15107 FM 2100 RD STE D
CROSBY, TX 77532
Pharmacy Comments
Contract Details
Approval Date
3/22/2022
Contract Begin Date
3/23/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Augustine Carbon, President
(305) 788-0007
Contract Pharmacy Representative
Health Rite Pharmacy
Gerald Melvin, Pharmacist
(281) 462-4894
Signed By Date
3/22/2022
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