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NMB PHARMACY INC
RWI30303 Aniz, Inc.
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Covered Entity Details
Entity Name
Aniz, Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI30303
Entity Address
236 Forsyth Street SW Suite 300
Atlanta, GA 30303
Grant Number
H89HA00007
Participating Start Date
10/1/2017
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
NMB PHARMACY INC
Pharmacy Address
1203 NE 163RD ST STE 103
NORTH MIAMI BEACH, FL 33162
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/20/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Zina Age, President CEO
(404) 502-9982
Contract Pharmacy Representative
TruePill
Mario Maceira, Senior Manager
(407) 484-3901
Signed By Date
10/17/2022
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