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FAMILY PHYSICIANS RX
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
FAMILY PHYSICIANS RX
Pharmacy Address
PHARMCORX 1103
1160 S SEMORAN BLVD STE DEF
ORLANDO, FL 32807
Pharmacy Comments
Contract Details
Approval Date
1/10/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Venise Danda, Owner
(786) 589-7840
Contract Pharmacy Representative
Pharmco
Carlos Rangel, Director of Marketing Operations
(305) 760-2053
Signed By Date
1/10/2024
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