340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COMMCARE PHARMACY-MIA, LLC
CH040330 Jessie Trice Community Health System, Inc,
Print
Covered Entity Details
Entity Name
Jessie Trice Community Health System, Inc,
Subdivision Name
JTCHS - Fatima Zafar MD Health & Wellness Center
Type
HRSA-Funded Health Center
340B ID
CH040330
Entity Address
5361 NW 22nd Ave
Miami, FL 33142-8035
Grant Number
H80CS00732
Participating Start Date
12/1/1992
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
COMMCARE PHARMACY-MIA, LLC
Pharmacy Address
1801 CORAL WAY
SUITE 115
MIAMI, FL 33145-2784
Pharmacy Comments
Contract Details
Approval Date
7/14/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/17/2017
Pharmacy closed
Contacts
Covered Entity Signing Official
Annie Neasman, CEO
(305) 805-1700 Ext: 23151
Contract Pharmacy Representative
Greg Isaak, CEO
(305) 854-5535
Signed By Date
7/14/2016
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session