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INFINITI PHARMACY AND INFUSION SERVICES
CHC26590-00 Empower U, Incorporated
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Covered Entity Details
Entity Name
Empower U, Incorporated
Subdivision Name
EMPOWER U CHC AT NORTHSIDE SHOPPING PLAZA
Type
HRSA-Funded Health Center
340B ID
CHC26590-00
Entity Address
7900 NW 27 AVE
E12
MIAMI, FL 33147-4909
Grant Number
H80CS26590
Participating Start Date
7/1/2014
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
INFINITI PHARMACY AND INFUSION SERVICES
Pharmacy Address
1338 NORTH FEDERAL HIGHWAY
POMPANO BEACH, FL 33062
Pharmacy Comments
Contract Details
Approval Date
4/10/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/29/2017
Pharmacy closed
Contacts
Covered Entity Signing Official
Vanessa Mills, Executive Director
(786) 318-2337 Ext: 127
Contract Pharmacy Representative
Ravikumar Baskaran, Comptroller
(954) 414-9901
Signed By Date
4/10/2015
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