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RX CARE FOUR LLC
HV32935B Unconditional Love, Inc.
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Covered Entity Details
Entity Name
Unconditional Love, Inc.
Subdivision Name
Type
Ryan White Part C
340B ID
HV32935B
Entity Address
1513 N. Harbor City Blvd.
Administration
Melbourne, FL 32935
Grant Number
H76HA00615
Participating Start Date
4/1/2021
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
RX CARE FOUR LLC
Pharmacy Address
PALM BAY PHARMACY
1270 MALABAR RD SE STE 2
PALM BAY, FL 32907-3407
Pharmacy Comments
Contract Details
Approval Date
4/15/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/1/2023
Ownership change
Contacts
Covered Entity Signing Official
Jessica J Seidita, CEO
(321) 259-8928 Ext: 206
Contract Pharmacy Representative
RX Care 16 LLC
Alpesh Patel, President
(813) 304-2221
Signed By Date
4/15/2022
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