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JTJ MEDICAL SUPPLY, INC.
CH044245C PANCARE OF FLORIDA, INC.
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Covered Entity Details
Entity Name
PANCARE OF FLORIDA, INC.
Subdivision Name
PanCare Health - Panama City
Type
HRSA-Funded Health Center
340B ID
CH044245C
Entity Address
2309 EAST 15TH STREET
PANAMA CITY, FL 32405
Grant Number
H80CS06452
Participating Start Date
10/1/2006
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
JTJ MEDICAL SUPPLY, INC.
Pharmacy Address
DBA MAIL-MEDS CLINICAL PHARMACY
2200 S MONROE ST
SUITE 201
TALLAHASSEE, FL 32301-6303
Pharmacy Comments
Contract Details
Approval Date
4/14/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/11/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Michael R. Hill, President/CEO
(850) 747-5599
Contract Pharmacy Representative
JTJ Medical Supply, Inc.
Lisa Shiers, Manager
(800) 939-2022
Signed By Date
4/14/2022
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