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ADVANCECARE NEW YORK, INC.
STD342392 Orenda Health and Wellness
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Covered Entity Details
Entity Name
Orenda Health and Wellness
Subdivision Name
Solstice
Type
Sexually Transmitted Diseases
340B ID
STD342392
Entity Address
1219 S East Ave
204
Sarasota, FL 34239
Grant Number
H25PS005131
Participating Start Date
6/17/2021
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
ADVANCECARE NEW YORK, INC.
Pharmacy Address
DBA: MISTR
661 9TH AVE
NEW YORK, NY 10036
Pharmacy Comments
Contract Details
Approval Date
6/1/2023
Contract Begin Date
6/2/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Heather Dolan, CEO
(904) 349-2246 Ext: 9043492246
Contract Pharmacy Representative
Advanced Care Rx
Kyle Bernier, Director of Operations
(508) 971-8380
Signed By Date
6/1/2023
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