340B Drug Pricing Program Database
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MALADI, INC.
RW400091B University of Florida
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Covered Entity Details
Entity Name
University of Florida
Subdivision Name
University of Florida CARES Daytona Beach
Type
Ryan White Part D
340B ID
RW400091B
Entity Address
1219 Dunne Ave.
Daytona Beach, FL 32114
Grant Number
H12HA24824
Participating Start Date
7/1/2019
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
MALADI, INC.
Pharmacy Address
DBA: EDGEWOOD PHARMACY
5966 MONCRIEF RD, UNIT #1
JACKSONVILLE, FL 32209
Pharmacy Comments
Contract Details
Approval Date
10/12/2022
Contract Begin Date
10/18/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2023
OPA Terminated due to audit finding
Contacts
Covered Entity Signing Official
Tina M. Bottini, Senior Asst. Dean, Research
(904) 244-9478
Contract Pharmacy Representative
Maladi, Inc
Sreedhar Maladi, Pharmacy Manager
(904) 379-3195
Signed By Date
10/12/2022
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