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COMMCARE PHARMACY-FTL, LLC
CHC11399-00 Care Resource Community Health Centers, Inc.
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Covered Entity Details
Entity Name
Care Resource Community Health Centers, Inc.
Subdivision Name
Care Resource Community Health Center at Ft. Lauderdale
Type
HRSA-Funded Health Center
340B ID
CHC11399-00
Entity Address
871 W Oakland Park Blvd
Wilton Manors, FL 33311-1731
Grant Number
H80CS12864
Participating Start Date
7/1/2009
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
COMMCARE PHARMACY-FTL, LLC
Pharmacy Address
855 SW 78TH AVE STE C100
PLANTATION, FL 33324-3223
Pharmacy Comments
Contract Details
Approval Date
10/7/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
Rick Siclari, Chief Executive Officer
(305) 576-1234 Ext: 206
Contract Pharmacy Representative
Vic Simianu, Manager, Special Projects
(954) 332-6150
Signed By Date
10/7/2013
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