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FOUNDATION CARE LLC
CH040210 CENTRAL FLORIDA HEALTH CARE, INC.
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Covered Entity Details
Entity Name
CENTRAL FLORIDA HEALTH CARE, INC.
Subdivision Name
CFHC Avon Park Primary Care
Type
HRSA-Funded Health Center
340B ID
CH040210
Entity Address
950 COUNTY ROAD 17-A, WEST
AVON PARK, FL 33825-2164
Grant Number
H80CS00423
Participating Start Date
1/1/2000
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
FOUNDATION CARE LLC
Pharmacy Address
111 CHESTERFIELD INDUSTRIAL BLVD STE 115
CHESTERFIELD, MO 63005
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ANN CLAUSSEN, CEO
(863) 291-5115
Contract Pharmacy Representative
Acaria Health
Philip Gofman, Regional VP
(917) 312-5263
Signed By Date
4/15/2024
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