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ICARE RX LLC
STD38703 Community Health Prevention Intervention Education & Research (CH-PIER)
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Covered Entity Details
Entity Name
Community Health Prevention Intervention Education & Research (CH-PIER)
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD38703
Entity Address
1385 E. Reed Rd
Suite B
Greenville, MS 38703
Grant Number
NU62PS924624
Participating Start Date
10/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
ICARE RX LLC
Pharmacy Address
14447 COUNTRY WALK DR
MIAMI, FL 33186
Pharmacy Comments
Contract Details
Approval Date
6/6/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Cedric Sturdevant, Executive Director
(662) 702-3544
Contract Pharmacy Representative
Physicians Rx Pharmacy of Clinton
Chris Wakefield, Manager
(412) 357-5163
Signed By Date
4/17/2023
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