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CAREMARK KANSAS SPECIALTY PHARMACY
CH04805A BOND COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
BOND COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Bond Community Health Center (Main Site)
Type
HRSA-Funded Health Center
340B ID
CH04805A
Entity Address
1720 S. Gadsden Street
Tallahassee, FL 32301-5506
Grant Number
H80CS28957
Participating Start Date
1/1/2016
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
CAREMARK KANSAS SPECIALTY PHARMACY
Pharmacy Address
CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
11162 RENNER BLVD
LENEXA, KS 66219
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Temple O. Robinson, CEO
(850) 576-4073 Ext: 207
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/16/2024
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