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FAMILY DRUGS OF INDIANTOWN
CH04037A FLORIDA CHCS, INC.
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Covered Entity Details
Entity Name
FLORIDA CHCS, INC.
Subdivision Name
INDIANTOWN COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH04037A
Entity Address
15858 SW WARFIELD BLVD
INDIANTOWN, FL 34956
Grant Number
H80CS00798
Participating Start Date
12/1/1992
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
FAMILY DRUGS OF INDIANTOWN
Pharmacy Address
15690 SW WARFIELD BLVD
INDIANTOWN, FL 34956
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Margaret Virginia Russell, VP & CFO
(561) 844-9443 Ext: 1003
Contract Pharmacy Representative
Family Drugs of Indiantown
Brian Rucks, Owner
(772) 597-2250
Signed By Date
10/16/2023
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