340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FOREST HILL PHARMACY LLC
CHC26626-00 FOUNDCARE INC.
Print
Covered Entity Details
Entity Name
FOUNDCARE INC.
Subdivision Name
FoundCare Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26626-00
Entity Address
2330 S. Congress Avenue
West Palm Beach, FL 33406-7608
Grant Number
H80CS26626
Participating Start Date
4/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
FOREST HILL PHARMACY LLC
Pharmacy Address
2939 FOREST HILL BLVD
WEST PALM BEACH, FL 33406
Pharmacy Comments
Contract Details
Approval Date
10/14/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/20/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rik Pavlescak, Chief Administrative Officer
(561) 432-7902
Contract Pharmacy Representative
Danny Bautista, Pharmacy Manager & Owner
(561) 965-4288
Signed By Date
10/14/2015
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session