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ROBALO SPECIALTY PHARMACY INC
STD33173 INMUHEALTH COMMUNITY GROUP INC
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Covered Entity Details
Entity Name
INMUHEALTH COMMUNITY GROUP INC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33173
Entity Address
9495 SW 72nd ST
B180
Miami, FL 33173
Grant Number
NU62PS924532
Participating Start Date
2/3/2023
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
ROBALO SPECIALTY PHARMACY INC
Pharmacy Address
2580 METROCENTRE BLVD
STE 5
WEST PALM BEACH, FL 33407
Pharmacy Comments
Contract Details
Approval Date
2/3/2023
Contract Begin Date
2/3/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Natalia Vega, Director
(305) 274-5319
Contract Pharmacy Representative
Robalo Pharmacy
Nirav Patel, Vice President
(561) 844-1191
Signed By Date
12/2/2022
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