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GOLDEN HILLS PHARMACY, LLC
CH040250 PROJECT HEALTH, INC.
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Covered Entity Details
Entity Name
PROJECT HEALTH, INC.
Subdivision Name
Langley Health Services Sumterville
Type
HRSA-Funded Health Center
340B ID
CH040250
Entity Address
1389 S Us 301
Sumterville, FL 33585-5143
Grant Number
H80CS00412
Participating Start Date
12/1/1992
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
GOLDEN HILLS PHARMACY, LLC
Pharmacy Address
2053 N. UNIVERSITY DR,
SUNRISE, FL 33322
Pharmacy Comments
Contract Details
Approval Date
10/13/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/31/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Gary Costantino, CFO
(352) 793-5900
Contract Pharmacy Representative
Ginger Hoffman, Owner
(352) 237-8266
Signed By Date
10/13/2014
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