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ENCOMPASS RX, LLC
RWII33040 Aids Help, Inc
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Covered Entity Details
Entity Name
Aids Help, Inc
Subdivision Name
Type
Ryan White Part B
340B ID
RWII33040
Entity Address
1434 Kennedy Drive
Key West, FL 33040
Grant Number
X07HA00057
Participating Start Date
10/1/2015
Last Recertification Date
2/8/2018
Entity Termination Date
1/1/2019
Pharmacy Details
Pharmacy Name
ENCOMPASS RX, LLC
Pharmacy Address
2700 NORTHEAST EXPRESSWAY
SUITE B-800
ATLANTA, GA 30345
Pharmacy Comments
Contract Details
Approval Date
7/3/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Eugene Scott Pridgen, Executive Director
(305) 293-4800
Contract Pharmacy Representative
Deepak Ranade, President
(404) 367-9111
Signed By Date
7/3/2017
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