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PICH KTM CORP
STD23435 Suffolk United, Inc
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Covered Entity Details
Entity Name
Suffolk United, Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD23435
Entity Address
1900 Atlanta Avenue
Portsmouth, VA 23435
Grant Number
NU62PS924552
Participating Start Date
3/13/2023
Last Recertification Date
5/30/2024
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
3/13/2023
Contract Begin Date
3/13/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ben Fitzgerald, Director
(757) 634-7550
Contract Pharmacy Representative
Medtown Pharmacy
Nakry Oeur, Owner
(904) 551-5870
Signed By Date
3/8/2023
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