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AMAZON PHARMACY #009
CHC12859 HEART OF FLORIDA HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
HEART OF FLORIDA HEALTH CENTER, INC.
Subdivision Name
Heart of Florida Health Center
Type
HRSA-Funded Health Center
340B ID
CHC12859
Entity Address
1025 SW 1st Avenue
Ocala, FL 34471-0900
Grant Number
H80CS12859
Participating Start Date
10/1/2011
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
AMAZON PHARMACY #009
Pharmacy Address
7469 KINGSPOINTE PKWY STE 400
ORLANDO, FL 32819
Pharmacy Comments
Contract Details
Approval Date
1/15/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Matt Clay, CEO
(352) 433-2867
Contract Pharmacy Representative
Equiscript, LLC
Anne Lipcsey, Account Executive
(704) 287-8429
Signed By Date
1/15/2025
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