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RELIANT PHARMACY LLC
STD33884 Community Care Resources Inc
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Covered Entity Details
Entity Name
Community Care Resources Inc
Subdivision Name
Community Care Resources of FL
Type
Sexually Transmitted Diseases
340B ID
STD33884
Entity Address
280 Patterson Road
Suite 3
Haines City, FL 33844
Grant Number
NH25PS005131
Participating Start Date
7/1/2020
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
RELIANT PHARMACY LLC
Pharmacy Address
DBA PINE BROOK PHARMACY
10507 SPRING HILL DR
SPRING HILL, FL 34608-5047
Pharmacy Comments
Contract Details
Approval Date
10/2/2024
Contract Begin Date
10/2/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Victoria Barnhart, CEO
(754) 210-2735
Contract Pharmacy Representative
Pinebrook Pharmacy
Gautam Thakkar, Owner
(813) 454-3500
Signed By Date
10/2/2024
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