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HEALTHYRX PHARMACY LLC
STD331393 Positive Assistance, INC.
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Covered Entity Details
Entity Name
Positive Assistance, INC.
Subdivision Name
MISTR, Inc.
Type
Sexually Transmitted Diseases
340B ID
STD331393
Entity Address
1521 Alton Rd
Suite 463
Miami Beach, FL 33139
Grant Number
5NU62PS924532-02
Participating Start Date
1/1/2021
Last Recertification Date
6/5/2023
Entity Termination Date
7/1/2024
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
Contract Termination Date
Termination Reason
7/1/2024
Covered Entity Terminated
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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