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AVITA DRUGS FLORIDA, LLC DBA AVITA PHARM
STD328062 Bliss Cares
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Covered Entity Details
Entity Name
Bliss Cares
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD328062
Entity Address
3901 E Colonial Drive
ORLANDO, FL 32803
Grant Number
NH25PS005131
Participating Start Date
7/1/2016
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
AVITA DRUGS FLORIDA, LLC DBA AVITA PHARM
Pharmacy Address
1409 NE 26TH ST
WILTON MANORS, FL 33305
Pharmacy Comments
Contract Details
Approval Date
2/10/2023
Contract Begin Date
2/10/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Roberto Ortiz, Medical Director
(407) 761-4579
Contract Pharmacy Representative
BLISS CARES
Johnida M Pena, Executive Director
(407) 761-3361
Signed By Date
2/10/2023
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