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HEALTHYRX PHARMACY LLC
STD34974 Positive Assistance, Inc.
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Covered Entity Details
Entity Name
Positive Assistance, Inc.
Subdivision Name
Gateway Medical Group, LLC
Type
Sexually Transmitted Diseases
340B ID
STD34974
Entity Address
201 SW 16th Street
Okeechobee, FL 34974
Grant Number
5NU62PS924532-02
Participating Start Date
1/1/2022
Last Recertification Date
5/20/2024
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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