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CRAWFORDVILLE PHARMACY, INC
CH04038B NORTH FLORIDA MEDICAL CENTERS, INC.
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Covered Entity Details
Entity Name
NORTH FLORIDA MEDICAL CENTERS, INC.
Subdivision Name
WAKULLA MEDICAL CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH04038B
Entity Address
1328 Coastal Hwy
Panacea, FL 32346-2151
Grant Number
H80CS00693
Participating Start Date
7/1/2000
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CRAWFORDVILLE PHARMACY, INC
Pharmacy Address
2650 CRAWFORDVILLE HWY STE 1
CRAWFORDVILLE, FL 32327-2369
Pharmacy Comments
Contract Details
Approval Date
5/16/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tori Wiggins, CFO
(850) 298-6040
Contract Pharmacy Representative
Crawfordville Pharmacy, Inc.
Hiren Patel, Owner
(850) 962-8946
Signed By Date
5/16/2024
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