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PALMS HEALTH SERVICES LLC
STD331811 Akeso Community Health
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Covered Entity Details
Entity Name
Akeso Community Health
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD331811
Entity Address
1801 NE 123rd St.
Ste 417
North Miami, FL 33181
Grant Number
NU62PS924532
Participating Start Date
1/1/2024
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
PALMS HEALTH SERVICES LLC
Pharmacy Address
PALMS PHARMACY
3491 S CONGRESS AVE
PALM SPRINGS, FL 33461-3021
Pharmacy Comments
Contract Details
Approval Date
11/6/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William Matias, Executive Officer
(786) 534-4907
Contract Pharmacy Representative
Palms Pharmacy
Anand Tripathi, Owner
(561) 513-9161
Signed By Date
9/18/2023
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