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RELIABLE SUPER DRUGS OF MIAMI LLC
STD331501 Doctors United group
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Covered Entity Details
Entity Name
Doctors United group
Subdivision Name
62nd
Type
Sexually Transmitted Diseases
340B ID
STD331501
Entity Address
714 NW 62nd street
Miami, FL 33150
Grant Number
NH25PS004342
Participating Start Date
1/1/2022
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
RELIABLE SUPER DRUGS OF MIAMI LLC
Pharmacy Address
2168 NE 123RD ST
NORTH MIAMI, FL 33181-2902
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Augustine Carbon, President
(305) 788-0007
Contract Pharmacy Representative
Reliable Super Drugs of Miami
Sapna Charania, Head Pharmacist
(305) 893-5252
Signed By Date
1/17/2023
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