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WEST PALM PHARMACY
CHC26626-00 FOUNDCARE INC.
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Covered Entity Details
Entity Name
FOUNDCARE INC.
Subdivision Name
FoundCare Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26626-00
Entity Address
2330 S. Congress Avenue
West Palm Beach, FL 33406-7608
Grant Number
H80CS26626
Participating Start Date
4/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WEST PALM PHARMACY
Pharmacy Address
WEST PALM PHARMACY
5760 OKEECHOBEE BLVD
WEST PALM BEACH, FL 33417-3341
Pharmacy Comments
Contract Details
Approval Date
1/11/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christopher Irizarry, CEO
(561) 472-9160 Ext: 207
Contract Pharmacy Representative
West Palm Pharmacy
Salim Soufan, Owner/President
(561) 249-2130
Signed By Date
1/11/2024
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