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MAHANT RX INC
STD334101 CMJ HEALTH GROUP INC
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Covered Entity Details
Entity Name
CMJ HEALTH GROUP INC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD334101
Entity Address
7721 N Military Trail
Ste 1-2
Riviera Beach, FL 33410
Grant Number
NH25PS005131
Participating Start Date
10/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
MAHANT RX INC
Pharmacy Address
DBA BELLE GLADE PHARMACY
136 S MAIN ST STE B
BELLE GLADE, FL 33430-3424
Pharmacy Comments
Contract Details
Approval Date
8/12/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
CHEYENNE EARLY, PRESIDENT
(786) 918-2745
Contract Pharmacy Representative
Mahant Rx, Inc
Dhruvang Patel, Vice President
(561) 571-9105
Signed By Date
7/15/2024
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