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SARNO PHARMACY, LLC
CH043823M BREVARD HEALTH ALLIANCE INC., THE
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Covered Entity Details
Entity Name
BREVARD HEALTH ALLIANCE INC., THE
Subdivision Name
BHA Sarno Regional Clinic
Type
HRSA-Funded Health Center
340B ID
CH043823M
Entity Address
2120 Sarno Road, Ste 2120
Melbourne, FL 32935
Grant Number
H80CS04213
Participating Start Date
7/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
SARNO PHARMACY, LLC
Pharmacy Address
THE MEDICINE SHOPPE
2176 SARNO RD STE 120
MELBOURNE, FL 32935
Pharmacy Comments
Contract Details
Approval Date
7/19/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Thomas Culbreth, CFO
(321) 241-6868
Contract Pharmacy Representative
Carl Acquaviva, Owner
(321) 693-4329
Signed By Date
7/19/2016
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