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CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
CHC28344-00 BANYAN COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
BANYAN COMMUNITY HEALTH CENTER, INC.
Subdivision Name
BCHC Administration Only
Type
HRSA-Funded Health Center
340B ID
CHC28344-00
Entity Address
2300 NW 89th Place
Doral, FL 33172
Grant Number
H80CS28344
Participating Start Date
1/1/2016
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
Pharmacy Address
CAREMARK, LLC
1001 SPINKS ROAD, STE 280
FLOWER MOUND, TX 75028
Pharmacy Comments
Contract Details
Approval Date
1/4/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Aprigliano, Vice President of Administration
(305) 398-6100 Ext: 7408
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/4/2024
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