340B Drug Pricing Program Database
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MALADI, INC.
904Health, Inc
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Covered Entity Details
Entity Name
904Health, Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
Entity Address
4427 Emerson St
Bldg 3 Suite A
Jacksonville, FL 32207
Grant Number
NH25PS005131
Participating Start Date
Last Recertification Date
Pharmacy Details
Pharmacy Name
MALADI, INC.
Pharmacy Address
DBA: EDGEWOOD PHARMACY
5966 MONCRIEF RD, UNIT #1
JACKSONVILLE, FL 32209
Pharmacy Comments
Contract Details
Approval Date
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Tarver, Director
(904) 659-2475
Contract Pharmacy Representative
Maladi, Inc
Sreedhar Maladi, Pharmacy Manager
(904) 379-3195
Signed By Date
4/15/2025
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