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PHARMA BUDDIES CORP
FQHCLA405A Cascade Aids Project
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Covered Entity Details
Entity Name
Cascade Aids Project
Subdivision Name
Cascade AIDS Project
Type
Health Center Program Look-Alike
340B ID
FQHCLA405A
Entity Address
520 NW Davis St Ste 215
Portland, OR 97209-3620
Grant Number
LALCS33965
Participating Start Date
7/1/2020
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
PHARMA BUDDIES CORP
Pharmacy Address
ROSEMONT SPECIALTY PHARMACY
1727 ORLANDO CENTRAL PKWY
ORLANDO, FL 32809
Pharmacy Comments
Contract Details
Approval Date
4/8/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jessica Cole, Senior Director of Compliance & Risk Management
(503) 445-7699
Contract Pharmacy Representative
Central Pharmacy
Abish Thomas, PharmD.
(863) 419-7777
Signed By Date
4/8/2024
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