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PREVENT RX 3, LLC
STD331395 Folx Foundation, Inc.
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Covered Entity Details
Entity Name
Folx Foundation, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD331395
Entity Address
407 Lincoln Road
Suite 6-B
Miami Beach, FL 33139
Grant Number
H25PS005131
Participating Start Date
9/23/2022
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
PREVENT RX 3, LLC
Pharmacy Address
DBA ADVANCECARE FT. LAUDERDALE
2372 WILTON DR
WILTON MANORS, FL 33305
Pharmacy Comments
Contract Details
Approval Date
9/23/2022
Contract Begin Date
9/23/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Katie Runnells, Director
(310) 466-0897
Contract Pharmacy Representative
Prevent Rx 3, LLC
Melvin Alexander, Operations Manager
(754) 701-0225
Signed By Date
8/31/2022
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