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OPTIMAL HEALTH PHARMACY LLC
STD337104 A Healthy Dose Foundation, Inc.
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Covered Entity Details
Entity Name
A Healthy Dose Foundation, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD337104
Entity Address
6812 22nd Avenue North
St. Petersburg, FL 33710
Grant Number
NH25PS005131
Participating Start Date
7/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
OPTIMAL HEALTH PHARMACY LLC
Pharmacy Address
17235 NW 27TH AVE
MIAMI GARDENS, FL 33056
Pharmacy Comments
Contract Details
Approval Date
5/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brittney Roy, President
(727) 463-2477
Contract Pharmacy Representative
Optimal Health Pharmacy LLC
Abraham O Hollist, Manager
(305) 705-4024
Signed By Date
4/15/2024
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