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RELIABLE SUPER DRUGS OF MIAMI LLC
STD33307 Arianna's Center
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Covered Entity Details
Entity Name
Arianna's Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33307
Entity Address
2501 NE 30th St.
Fort Lauderdale, FL 33306
Grant Number
NH25PS005131
Participating Start Date
10/1/2022
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
RELIABLE SUPER DRUGS OF MIAMI LLC
Pharmacy Address
2168 NE 123RD ST
NORTH MIAMI, FL 33181-2902
Pharmacy Comments
Contract Details
Approval Date
4/15/2023
Contract Begin Date
4/26/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Juan Rodriguez, Director of 340B Operations
(407) 670-9557
Contract Pharmacy Representative
Reliable Super Drugs
Sapna Charania, Pharmacist
(305) 893-5252
Signed By Date
4/15/2023
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