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HEALTHYRX PHARMACY LLC
STD32827 Positive Assistance, Inc.
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Covered Entity Details
Entity Name
Positive Assistance, Inc.
Subdivision Name
The Advanced Medical Group of Central Florida, LLC
Type
Sexually Transmitted Diseases
340B ID
STD32827
Entity Address
9486 Narcoossee Road
Orlando, FL 32827
Grant Number
5NU62PS924532-02
Participating Start Date
4/1/2022
Last Recertification Date
5/31/2024
Pharmacy Details
Pharmacy Name
HEALTHYRX PHARMACY LLC
Pharmacy Address
DBA-HEALTHYRX PHARMACY
650 NW 120TH ST
NORTH MIAMI, FL 33168
Pharmacy Comments
Contract Details
Approval Date
7/13/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Andre J Antenor, President
(863) 242-3322
Contract Pharmacy Representative
HEALTHYRX PHARMACY LLC
Sowjanya Shakhamoori, PHARMACIST
(813) 626-7353
Signed By Date
7/13/2022
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