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THRIVE SPECIALTY PHARMACY, LLC
STD334041 INTEGRATED HEALTHCARE SYSTEMS RIVIERA INC
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Covered Entity Details
Entity Name
INTEGRATED HEALTHCARE SYSTEMS RIVIERA INC
Subdivision Name
INTEGRATED HEALTHCARE SYSTEMS
Type
Sexually Transmitted Diseases
340B ID
STD334041
Entity Address
800 N Sapodilla Avenue
STE 3
West Palm Beach, FL 33401-6155
Grant Number
NH25PS005131
Participating Start Date
4/1/2020
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
THRIVE SPECIALTY PHARMACY, LLC
Pharmacy Address
WILLIAM MILLER OWNER/PARTNER
7368 NW 5TH ST
PLANTATION, FL 33317
Pharmacy Comments
Contract Details
Approval Date
4/1/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/9/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Monique D Brown Faust, CEO
(561) 510-0471
Contract Pharmacy Representative
Thrive Specialty Pharmacy
William Miller, Owner
(954) 579-9272
Signed By Date
4/1/2025
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