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ADVANCECARE DALLAS
STD32803 26Health, Inc.
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Covered Entity Details
Entity Name
26Health, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD32803
Entity Address
801 N. Magnolia Ave., Ste 402
Orlando, FL 32803
Grant Number
NH25PS005131
Participating Start Date
10/5/2023
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
ADVANCECARE DALLAS
Pharmacy Address
3818 CEDAR SPRINGS RD STE 104
DALLAS, TX 75219
Pharmacy Comments
Contract Details
Approval Date
4/12/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Syvonne Carter, President and CEO
(321) 800-2922
Contract Pharmacy Representative
AdvanceCare Pharmacy
Kyle Bernier, Director of Operations
(508) 971-8380
Signed By Date
4/12/2024
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