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ALL WELL PHARMACY
STD32505 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
STD32505
Entity Address
3101 north davis hwy
pensacola, FL 32503
Grant Number
1nh25ps005131-01-00
Participating Start Date
1/1/2023
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
ALL WELL PHARMACY
Pharmacy Address
5452 BLANDING BLVD
JACKSONVILLE, FL 32244
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
All Well Pharmacy
Sumanth K Edara, Preseident
(904) 779-6995
Signed By Date
12/22/2022
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