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PALMS HEALTH SERVICES LLC
STD334092 Campbell Health Solutions,Inc
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Covered Entity Details
Entity Name
Campbell Health Solutions,Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD334092
Entity Address
2090 Palm Beach Lakes Blvd
Suite 300
West Palm Beach, FL 33409
Grant Number
5NU62PS92453202
Participating Start Date
8/9/2022
Last Recertification Date
5/28/2025
Pharmacy Details
Pharmacy Name
PALMS HEALTH SERVICES LLC
Pharmacy Address
PALMS PHARMACY
3491 S CONGRESS AVE
PALM SPRINGS, FL 33461-3021
Pharmacy Comments
Contract Details
Approval Date
8/9/2022
Contract Begin Date
8/9/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richardo Antonio Jackson, CEO
(561) 208-6595 Ext: 222
Contract Pharmacy Representative
Palms Pharmacy
Anand Tripathi, Owner
(561) 513-9161
Signed By Date
7/14/2022
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