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DANIA DISCOUNT DRUG INC
STD334092 Campbell Health Solutions,Inc
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Covered Entity Details
Entity Name
Campbell Health Solutions,Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD334092
Entity Address
2090 Palm Beach Lakes Blvd
Suite 300
West Palm Beach, FL 33409
Grant Number
5NU62PS92453202
Participating Start Date
8/9/2022
Last Recertification Date
5/28/2025
Pharmacy Details
Pharmacy Name
DANIA DISCOUNT DRUG INC
Pharmacy Address
DANIA REXALL
5420 NW 33RD AVE STE 7B
FORT LAUDERDALE, FL 33309
Pharmacy Comments
Contract Details
Approval Date
5/17/2023
Contract Begin Date
6/12/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richardo Antonio Jackson, CEO
(561) 208-6595
Contract Pharmacy Representative
Dania Discount Drugs
Robert Kusher, President
(954) 921-4661
Signed By Date
5/17/2023
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