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ELSA PHARMACY INC
STD33010 Doctors United Group Inc
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Covered Entity Details
Entity Name
Doctors United Group Inc
Subdivision Name
Javier Garcia, MSN-FN Health Clinic
Type
Sexually Transmitted Diseases
340B ID
STD33010
Entity Address
855 E 10th Ave
Hialeah, FL 33010
Grant Number
NH25PS004342
Participating Start Date
10/1/2022
Last Recertification Date
5/13/2024
Pharmacy Details
Pharmacy Name
ELSA PHARMACY INC
Pharmacy Address
1802 E 4TH AVE
HIALEAH, FL 33010
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Augustine Carbon, President
(305) 788-0007
Contract Pharmacy Representative
Elsa Pharmacy Inc
David Sampedro, Pharmacy Manager
(305) 691-1968
Signed By Date
4/14/2025
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