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CCN AMERICA, LP
STD334042 WellView Care, Inc
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Covered Entity Details
Entity Name
WellView Care, Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD334042
Entity Address
3514 Broadway
Riviera Beach, FL 33404
Grant Number
NH25PS005131
Participating Start Date
1/1/2023
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
CCN AMERICA, LP
Pharmacy Address
COORDINATED CARE NETWORK PHARMACY
1500 W CYPRESS CREEK RD STE 203
FT LAUDERDALE, FL 33309
Pharmacy Comments
Contract Details
Approval Date
4/5/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Adolfo Lorenzo, President
(305) 491-3600
Contract Pharmacy Representative
Coordinated Care Network
Thomas J Pollack, President/CEO
(412) 349-6300
Signed By Date
4/5/2023
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