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UNITED/XCEL-RX LLC
STD342392 Orenda Health and Wellness
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Covered Entity Details
Entity Name
Orenda Health and Wellness
Subdivision Name
Solstice
Type
Sexually Transmitted Diseases
340B ID
STD342392
Entity Address
1219 S East Ave
204
Sarasota, FL 34239
Grant Number
H25PS005131
Participating Start Date
6/17/2021
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
UNITED/XCEL-RX LLC
Pharmacy Address
150 FENCL LN STE 2B
HILLSIDE, IL 60162-2041
Pharmacy Comments
Contract Details
Approval Date
1/9/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Heather Dolan, CEO
(904) 349-2246 Ext: 9043492246
Contract Pharmacy Representative
United/XCel-Rx, LLC
Chuck Benain, Chief Operating Officer
(708) 449-7600 Ext: 373
Signed By Date
1/9/2025
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