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BAYVRIO PHARMACY, LLC
STD327635 Central Florida Health Care Services Corp
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Covered Entity Details
Entity Name
Central Florida Health Care Services Corp
Subdivision Name
CFHCS-OC
Type
Sexually Transmitted Diseases
340B ID
STD327635
Entity Address
915 Harley Strickland Blvd.
Orange City, FL 32763
Grant Number
H25PS005131
Participating Start Date
9/16/2024
Last Recertification Date
6/2/2025
Pharmacy Details
Pharmacy Name
BAYVRIO PHARMACY, LLC
Pharmacy Address
7402 N 56TH ST
STE 907
TAMPA, FL 33617
Pharmacy Comments
Contract Details
Approval Date
1/8/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Agreement registered in error
Contacts
Covered Entity Signing Official
Joseph Misleh, President
(513) 702-7215
Contract Pharmacy Representative
Bayvrio
Ari Aichbhaumik, Manager
(813) 623-1800
Signed By Date
1/8/2025
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