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CURANT HEALTH FLORIDA, LLC
RWII86305 Northland Cares
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Covered Entity Details
Entity Name
Northland Cares
Subdivision Name
Northland Cares
Type
Ryan White Part B
340B ID
RWII86305
Entity Address
3188 N Windsong Drive
Suite A
Prescott Valley, AZ 86314
Grant Number
X07HA00080
Participating Start Date
7/1/2013
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
CURANT HEALTH FLORIDA, LLC
Pharmacy Address
11001 ROOSEVELT BLVD N STE 1400
ST PETERSBURG, FL 33716
Pharmacy Comments
7/12/2010 - PHARMACY MOVED FROM 7205 BRYAN DAIRY ROAD.
Contract Details
Approval Date
6/10/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Patricia Goffena-Beyer, Executive Director
(928) 776-4612 Ext: 14
Contract Pharmacy Representative
Curant Health
PATRICK DUNHAM, PRESIDENT
(770) 437-8040
Signed By Date
4/15/2013
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