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LARKIN COMMUNITY HOSPITAL PALM SPRINGS C
STD331382 Project Access Foundation Inc
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Covered Entity Details
Entity Name
Project Access Foundation Inc
Subdivision Name
Biscayne Medical
Type
Sexually Transmitted Diseases
340B ID
STD331382
Entity Address
8000 Biscayne Blvd
Miami, FL 33138
Grant Number
NH25PS005131
Participating Start Date
10/1/2021
Last Recertification Date
5/9/2025
Pharmacy Details
Pharmacy Name
LARKIN COMMUNITY HOSPITAL PALM SPRINGS C
Pharmacy Address
1475 W 49TH ST
HIALEAH, FL 33012
Pharmacy Comments
Contract Details
Approval Date
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jorge Carballo, CEO
(954) 445-2902
Contract Pharmacy Representative
LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS
GIJO MATHEW, DIRECTOR OF PHARMACY
(305) 824-4728
Signed By Date
10/12/2023
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