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BENZER FL3 LLC
STD339191 FCHP Cares Corp
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Covered Entity Details
Entity Name
FCHP Cares Corp
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD339191
Entity Address
8140 College Parkway
Suite 101
Fort Myers, FL 33919
Grant Number
NU62PS924830
Participating Start Date
4/1/2025
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
2/18/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jesse B Leszczynski, President
(301) 204-3246
Contract Pharmacy Representative
Benzer fl 3 llc
Tejas Patel, Pharmacist
(561) 529-2851
Signed By Date
1/3/2025
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