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PICH KTM CORP
STD322083 OVERFLOW HEALTH ALLIANCE INC
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Covered Entity Details
Entity Name
OVERFLOW HEALTH ALLIANCE INC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD322083
Entity Address
4819 soutel dr
JACKSONVILLE, FL 32208
Grant Number
NH25PS00513
Participating Start Date
1/1/2023
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
PICH KTM CORP
Pharmacy Address
DBA MEDTOWN PHARMACY
11643 BEACH BLVD
UNIT A
JACKSONVILLE, FL 32246
Pharmacy Comments
Contract Details
Approval Date
12/22/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joshua Hardin-Givens, Executive Director
(904) 468-7944
Contract Pharmacy Representative
Medtown Pharmacy
Nakry Oeur, Owner
(904) 551-5870
Signed By Date
12/22/2022
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