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COMMCARE PHARMACY-FTL, LLC
HV040330 JESSIE TRICE COMMUNITY HEALTH CENTER, INC
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Covered Entity Details
Entity Name
JESSIE TRICE COMMUNITY HEALTH CENTER, INC
Subdivision Name
Type
Ryan White Part C
340B ID
HV040330
Entity Address
5361 NW 22ND AVENUE
MIAMI, FL 33142
Grant Number
H76HA00097
Participating Start Date
12/1/1992
Last Recertification Date
2/2/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
COMMCARE PHARMACY-FTL, LLC
Pharmacy Address
855 SW 78TH AVE STE C100
PLANTATION, FL 33324-3223
Pharmacy Comments
Contract Details
Approval Date
7/14/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Annie Neasman, CEO
(305) 805-1700 Ext: 23151
Contract Pharmacy Representative
Greg Isaak, CEO
(954) 334-5965
Signed By Date
7/14/2016
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