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ESI MAIL PHARMACY SERVICE
CH044130 MIAMI BEACH COMMUNITY HEALTH CENTER INC.
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Covered Entity Details
Entity Name
MIAMI BEACH COMMUNITY HEALTH CENTER INC.
Subdivision Name
MIAMI BEACH COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH044130
Entity Address
710 Alton Rd
Miami Beach, FL 33139
Grant Number
H80CS00182
Participating Start Date
12/1/1992
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
ESI MAIL PHARMACY SERVICE
Pharmacy Address
DBA EXPRESS SCRIPTS
7909 S HARDY DR STE 106
TEMPE, AZ 85284-1112
Pharmacy Comments
Contract Details
Approval Date
4/16/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sorangely Menjivar, Chief Operating Officer
(305) 538-8835 Ext: 1409
Contract Pharmacy Representative
Accredo
Diana Florio, 340B Managing Director
(407) 988-7044
Signed By Date
4/16/2025
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