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ATLANTIS PHARMACY RX LLC
CHC26626-00 FOUNDCARE INC.
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Covered Entity Details
Entity Name
FOUNDCARE INC.
Subdivision Name
FoundCare Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26626-00
Entity Address
2330 S. Congress Avenue
West Palm Beach, FL 33406-7608
Grant Number
H80CS26626
Participating Start Date
4/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
ATLANTIS PHARMACY RX LLC
Pharmacy Address
100 JOHN F KENNEDY DR
ATLANTIS, FL 33462
Pharmacy Comments
Contract Details
Approval Date
7/12/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christopher Irizarry, CEO
(561) 472-9160 Ext: 207
Contract Pharmacy Representative
Atlantis Pharmacy RX LLC
Damien Simmons, Owner/President
(561) 232-2893
Signed By Date
7/12/2023
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