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CND3, INC.
STD334041 INTEGRATED HEALTHCARE SYSTEMS RIVIERA INC
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Covered Entity Details
Entity Name
INTEGRATED HEALTHCARE SYSTEMS RIVIERA INC
Subdivision Name
INTEGRATED HEALTHCARE SYSTEMS
Type
Sexually Transmitted Diseases
340B ID
STD334041
Entity Address
800 N Sapodilla Avenue
STE 3
West Palm Beach, FL 33401-6155
Grant Number
NH25PS005131
Participating Start Date
4/1/2020
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
CND3, INC.
Pharmacy Address
ROBALO PHARMACY
228 US HIGHWAY-1
LAKE PARK, FL 33403
Pharmacy Comments
Contract Details
Approval Date
3/9/2023
Contract Begin Date
3/9/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Monique D Brown Faust, CEO
(561) 510-0471
Contract Pharmacy Representative
Robalo Pharmacy
Nirav Patel, Vice President
(561) 844-1191
Signed By Date
3/9/2023
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