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LARKIN COMMUNITY HOSPITAL PALM SPRINGS C
STD330123 League Against AIDS, Inc.
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Covered Entity Details
Entity Name
League Against AIDS, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD330123
Entity Address
1435 W 49th Place Suite 503
Hialeah, FL 33012
Grant Number
NU62PS924532-05-02
Participating Start Date
4/1/2023
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
LARKIN COMMUNITY HOSPITAL PALM SPRINGS C
Pharmacy Address
1475 W 49TH ST
HIALEAH, FL 33012
Pharmacy Comments
Contract Details
Approval Date
4/3/2023
Contract Begin Date
4/4/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jorge Carballo, Executive Director
(305) 576-1000
Contract Pharmacy Representative
LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS
GIJO MATHEW, DIRECTOR OF PHARMACY
(305) 824-4728
Signed By Date
4/3/2023
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