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A & B PHARMACY
STD330241 Flex 4 Medical Center
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Covered Entity Details
Entity Name
Flex 4 Medical Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD330241
Entity Address
2221 N UNIVERSITY DRIVE
STE D
PEMBROKE PINES, FL 33024
Grant Number
NH25PS005131
Participating Start Date
7/1/2023
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
A & B PHARMACY
Pharmacy Address
LEGAL NAME: ALISARA LLC
19533 NW 57TH AVE
MIAMI GARDENS, FL 33055
Pharmacy Comments
Contract Details
Approval Date
4/9/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Trenise Bennett Lewis, CEO
(786) 440-6787
Contract Pharmacy Representative
Pines Health Mart Pharmacy
Mohammed Arshad Ali, CEO
(954) 404-6610
Signed By Date
4/9/2024
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