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BENZER FL3 LLC
STD334843 Universal Comprehensive Healthcare Services LLC
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Covered Entity Details
Entity Name
Universal Comprehensive Healthcare Services LLC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD334843
Entity Address
7753 Lake Worth Road
Lake Worth, FL 33467
Grant Number
nu62ps924633
Participating Start Date
11/25/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
BENZER FL3 LLC
Pharmacy Address
ELITE PHARMACY
901 W INDIANTOWN RD STE 23
JUPITER, FL 33458
Pharmacy Comments
Contract Details
Approval Date
12/13/2024
Contract Begin Date
12/16/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dr. Janice Victor, CEO
(973) 698-7768
Contract Pharmacy Representative
Benzer fl 3 llc
Tejas Patel, Pharmacist
(561) 529-2851
Signed By Date
12/13/2024
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