340B Drug Pricing Program Database

Pharmacy Name

A & B PHARMACY

Pharmacy Address

LEGAL NAME: ALISARA LLC
19533 NW 57TH AVE
MIAMI GARDENS, FL 33055

Pharmacy Comments

Approval Date

9/4/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Arshad Ali Mohammed, DIRECTOR
(786) 863-5539

Contract Pharmacy Representative

BENEVOLENCE MEDICAL SERVICES INC
ANA MARIA GONZALEZ, Assistant director
(305) 952-4384

Signed By Date

7/3/2023