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PINES HEALTH MART PHARMACY
STD331381 Community Rightful Center, Inc.
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Covered Entity Details
Entity Name
Community Rightful Center, Inc.
Subdivision Name
Prevention, Education, Testing, Treatment and Case Management
Type
Sexually Transmitted Diseases
340B ID
STD331381
Entity Address
9526 NE 2 Ave #202D
Suite 202D
Miami Shores, FL 33138
Grant Number
NU62PS924532
Participating Start Date
11/26/2019
Last Recertification Date
5/10/2024
Pharmacy Details
Pharmacy Name
PINES HEALTH MART PHARMACY
Pharmacy Address
2301 N UNIVERSITY DR STE 112
PEMBROKE PINES, FL 33024-3617
Pharmacy Comments
Contract Details
Approval Date
10/13/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Roseline Lous XVI, CEO/ director
(305) 754-5701
Contract Pharmacy Representative
Pines Health Mart Pharmacy
Mohammed Arshad Ali, CEO
(954) 404-6610
Signed By Date
10/13/2022
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