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AMAZON PHARMACY #009
STD331396 PREVENTION 305, Inc.
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Covered Entity Details
Entity Name
PREVENTION 305, Inc.
Subdivision Name
PREVENTION 727
Type
Sexually Transmitted Diseases
340B ID
STD331396
Entity Address
3000 1st Avenue North
Saint Petersburg, FL 33713
Grant Number
NH25PS005131
Participating Start Date
7/1/2024
Last Recertification Date
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
Patrick Whiteside, Chief Executive Officer
(866) 773-7305 Ext: 100
Contract Pharmacy Representative
PillPack LLC
Bridget O'Connell, Authorized Signatory
(714) 380-0579
Signed By Date
1/15/2025
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