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A & B PHARMACY
STD331791 Anuvia Medical Center
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Covered Entity Details
Entity Name
Anuvia Medical Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD331791
Entity Address
190 NE 199th Street
Suite 201
Miami, FL 33179
Grant Number
NH25PS005131
Participating Start Date
10/1/2023
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
A & B PHARMACY
Pharmacy Address
LEGAL NAME: ALISARA LLC
19533 NW 57TH AVE
MIAMI GARDENS, FL 33055
Pharmacy Comments
Contract Details
Approval Date
9/7/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/19/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Venise Danda, Owner
(786) 589-7840
Contract Pharmacy Representative
Pines Health Mart Pharmacy
Mohammed Arshad Ali, CEO
(954) 404-6610
Signed By Date
9/6/2023
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