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HEALTHYRX PHARMACY LLC
STD347415 Positive Assistance, Inc.
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Covered Entity Details
Entity Name
Positive Assistance, Inc.
Subdivision Name
Gastroenterology Institute of Orlando, LLC
Type
Sexually Transmitted Diseases
340B ID
STD347415
Entity Address
812 W Oak Street
Kissimmee, FL 34741
Grant Number
5NU62PS924532-02
Participating Start Date
1/1/2022
Last Recertification Date
5/15/2024
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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