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FAMILY PHYSICIANS RX
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
FAMILY PHYSICIANS RX
Pharmacy Address
DBA PHARMCORX 1204
901 N MIAMI BEACH BLVD STE 1
NORTH MIAMI BEACH, FL 33162-3720
Pharmacy Comments
Contract Details
Approval Date
5/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Brittney Roy, President
(727) 463-2477
Contract Pharmacy Representative
pharmco LLC
Pamela Roberts, COO
(303) 919-7399 Ext: 210
Signed By Date
4/15/2024
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