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CAREMARK, L.L.C.
STD33150 I&B Medical Associates PLLC
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Covered Entity Details
Entity Name
I&B Medical Associates PLLC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33150
Entity Address
9400 NW 12 Ave.
Ste. 1
Miami, FL 33150
Grant Number
NH25PS005131
Participating Start Date
7/1/2018
Last Recertification Date
5/8/2024
Pharmacy Details
Pharmacy Name
CAREMARK, L.L.C.
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7251 S. EASTERN AVE.
LAS VEGAS, NV 89119
Pharmacy Comments
Contract Details
Approval Date
4/10/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Etzer Dolce, Director of Operations
(305) 835-9264
Contract Pharmacy Representative
CVS
Meagan Stevens, Sales Executive
(407) 457-2409
Signed By Date
4/10/2025
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