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MED-CARE INFUSION SERVICES
STD33016 Doctors United Group Inc
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Covered Entity Details
Entity Name
Doctors United Group Inc
Subdivision Name
Doctors United Group Inc hialeah
Type
Sexually Transmitted Diseases
340B ID
STD33016
Entity Address
2150 W 76th street
suite 100
hialeah, FL 33016
Grant Number
NH25PS004342
Participating Start Date
10/1/2021
Last Recertification Date
5/13/2024
Pharmacy Details
Pharmacy Name
MED-CARE INFUSION SERVICES
Pharmacy Address
3085 W 80TH ST
HIALEAH, FL 33018-3888
Pharmacy Comments
Contract Details
Approval Date
1/13/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Augustine Carbon, President
(305) 788-0007
Contract Pharmacy Representative
MedCare Infusion Services, INC
Maikel Valdes, VP Pharmacy Operations
(305) 863-4277
Signed By Date
1/13/2025
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