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ROBALO SPECIALTY PHARMACY INC
STD331811 Akeso Community Health
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Covered Entity Details
Entity Name
Akeso Community Health
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD331811
Entity Address
1801 NE 123rd St.
Ste 417
North Miami, FL 33181
Grant Number
NU62PS924532
Participating Start Date
1/1/2024
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
ROBALO SPECIALTY PHARMACY INC
Pharmacy Address
2580 METROCENTRE BLVD
STE 5
WEST PALM BEACH, FL 33407
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
9/4/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William Matias, Executive Officer
(786) 534-4907
Contract Pharmacy Representative
Robalo Pharmacy
Nirav Patel, Vice President
(561) 844-1191
Signed By Date
7/15/2024
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