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PHYSICIAN'S RX PHARMACY, LLC
STD49008 Community AIDS Resource & Education Svcs of SW MI
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Covered Entity Details
Entity Name
Community AIDS Resource & Education Svcs of SW MI
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD49008
Entity Address
629 Pioneer Street
Kalamazoo, MI 49008-1801
Grant Number
NH25PS005170
Participating Start Date
4/23/2020
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
PHYSICIAN'S RX PHARMACY, LLC
Pharmacy Address
PHYSICIANS RX PHARMACY, LLC
9701 APOLLO DRIVE
#400
LARGO, MD 20774
Pharmacy Comments
Contract Details
Approval Date
5/4/2023
Contract Begin Date
5/4/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kelly A. Doyle, CEO
(269) 806-3970
Contract Pharmacy Representative
Pharmalytiq
Westin D Smith, Strategic Sales
(262) 349-0827
Signed By Date
5/4/2023
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