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ARTH LLC
STD33936 Blue Star Health
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Covered Entity Details
Entity Name
Blue Star Health
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33936
Entity Address
1154 Lee Blvd Unit 3
Lehigh Acres, FL 33936
Grant Number
NH25PS005131
Participating Start Date
1/1/2021
Last Recertification Date
6/2/2025
Pharmacy Details
Pharmacy Name
ARTH LLC
Pharmacy Address
ACRES PHARMACY
1446 LEE BLVD
LEHIGH ACRES, FL 33936-4850
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Fabio Ruiz, CEO
(866) 725-4642
Contract Pharmacy Representative
ACRES PHARMACY
RONAK PATEL, PHARMACIST
(239) 674-9737
Signed By Date
7/15/2024
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