340B Drug Pricing Program Database

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CARL D ACQUAVIVA
CH043823M BREVARD HEALTH ALLIANCE INC., THE

Covered Entity Details

BHA Sarno Regional Clinic
HRSA-Funded Health Center
CH043823M
2120 Sarno Road, Ste 2120
Melbourne, FL 32935
H80CS04213
7/1/2013
2/10/2025


Pharmacy Details

ACQUAVIVA'S PHARMACY
1555 PORT MALABAR BLVD NE STE 101
PALM BAY, FL 32905-5407

Contract Details

7/19/2016
10/1/2016

6/30/2018
Business decision by covered entity and/or pharmacy


Contacts


Thomas Culbreth, CFO
(321) 241-6868



Carl Acquaviva, Owner
(321) 693-4329
7/19/2016