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THE PRESCRIPTION SHOPPE
CH04038Y NORTH FLORIDA MEDICAL CENTERS, INC.
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Covered Entity Details
Entity Name
NORTH FLORIDA MEDICAL CENTERS, INC.
Subdivision Name
Crestview Health Center
Type
HRSA-Funded Health Center
340B ID
CH04038Y
Entity Address
800 Hospital Dr
Crestview, FL 32539
Grant Number
H80CS00693
Participating Start Date
4/1/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
THE PRESCRIPTION SHOPPE
Pharmacy Address
536 E.FIRST AVENUE
CRESTVIEW, FL 32536
Pharmacy Comments
Contract Details
Approval Date
4/1/2008
Contract Begin Date
4/1/2008
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/24/2017
Pharmacy closed
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/12/2008
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