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HM BLOOMINGDALE LLC
STD337053 Love the Golden Rule, Inc.
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Covered Entity Details
Entity Name
Love the Golden Rule, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD337053
Entity Address
1525 16th Street South
Suite1
Saint Petersburg, FL 33705
Grant Number
NH25PS005131
Participating Start Date
8/18/2023
Last Recertification Date
5/20/2024
Pharmacy Details
Pharmacy Name
HM BLOOMINGDALE LLC
Pharmacy Address
DBA: BELL PHARMACY 001
3535 CENTRAL AVE
SAINT PETERSBURG, FL 33713
Pharmacy Comments
Contract Details
Approval Date
7/3/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Andre Clarke, Practice Manager
(727) 826-0700
Contract Pharmacy Representative
Bell Pharmacy
Anthony Pasquale Trunzo, Mananger
(813) 689-2273
Signed By Date
7/3/2024
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