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EZ RX HALLANDALE LLC
STD33161 MJD Wellness Center
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Covered Entity Details
Entity Name
MJD Wellness Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33161
Entity Address
822 NE 125th Street
Suite 103
Nortth Miami, FL 33161
Grant Number
NH25PS005131
Participating Start Date
5/14/2020
Last Recertification Date
5/30/2024
Pharmacy Details
Pharmacy Name
EZ RX HALLANDALE LLC
Pharmacy Address
1550 W 84TH ST STE 62
HIALEAH, FL 33014-3379
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Emmanuella Fleurimont, Executive Director
(786) 406-5886 Ext: 7864065886
Contract Pharmacy Representative
EZRX PHARMACY
MIRTHA GONZALEZ, PHARMACY TECH
(786) 259-3076
Signed By Date
4/15/2025
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