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POLARIS PHARMACY SERVICES OF FT LAUDERDA
CH044120 QUALITY OF LIFE HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
QUALITY OF LIFE HEALTH SERVICES, INC.
Subdivision Name
QUALITY OF LIFE HEALTH COMPLEX
Type
HRSA-Funded Health Center
340B ID
CH044120
Entity Address
1411 PIEDMONT CUTOFF
GADSDEN, AL 35903-2708
Grant Number
H80CS00658
Participating Start Date
12/1/1992
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
POLARIS PHARMACY SERVICES OF FT LAUDERDA
Pharmacy Address
2900 NW 60TH ST
FT LAUDERDALE, FL 33309-1774
Pharmacy Comments
Contract Details
Approval Date
4/24/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
WAYNE ROWE, CEO
(256) 492-0131
Contract Pharmacy Representative
Poaris Specialty Pharmacy
David Rombro, CEO
(954) 919-1818
Signed By Date
4/24/2024
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