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UNITED/XCEL-RX LLC
STD33461 Embrace Arms Foundation
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Covered Entity Details
Entity Name
Embrace Arms Foundation
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33461
Entity Address
2677 Forest Hill Blvd.
Ste. 125
Palm Springs, FL 33406
Grant Number
NH25PS005131
Participating Start Date
4/1/2020
Last Recertification Date
5/30/2024
Pharmacy Details
Pharmacy Name
UNITED/XCEL-RX LLC
Pharmacy Address
4300 N. UNIVERSITY DR., STE C101
LAUDERHILL, FL 33351
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
Ventricia Harris-Victor, Director
(561) 708-8945
Contract Pharmacy Representative
United/XCel-Rx, LLC
Chuck Benain, Chief Operating Officer
(708) 449-7600 Ext: 373
Signed By Date
1/16/2024
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