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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
2817 E OAKLAND PARK BLVD, SUITE #100
FT LAUDERDALE, FL 33306-1805
Pharmacy Comments
Contract Details
Approval Date
10/12/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/24/2016
Pharmacy closed
Contacts
Covered Entity Signing Official
Hudes Desrameaux, Associate Director of Grants and Program Development
(305) 576-1234 Ext: 230
Contract Pharmacy Representative
Commcare Pharmacy
Avani Patel, Client Relations Manager
(954) 284-2358
Signed By Date
10/12/2015
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