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AIDS HEALTHCARE FOUNDATION
HV00710 Bond Community Health Center
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Covered Entity Details
Entity Name
Bond Community Health Center
Subdivision Name
Type
Ryan White Part C
340B ID
HV00710
Entity Address
1720 S. Gadsden Street
Tallahassee, FL 32301-5506
Grant Number
H76HA00710
Participating Start Date
7/1/2014
Last Recertification Date
2/7/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
AIDS HEALTHCARE FOUNDATION
Pharmacy Address
AHF PHARMACY
2 SHIRCLIFF WAY STE 900
DE PAUL BUILDING
JACKSONVILLE, FL 32204-4753
Pharmacy Comments
Contract Details
Approval Date
7/16/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Bernard Goodman, CEO
(850) 576-4073 Ext: 205
Contract Pharmacy Representative
aidshealth
SCOTT CARRUTHERS, SR. MANAGER, CHIEF PHARMACY OFFICER
(323) 860-5200 Ext: 5266
Signed By Date
7/16/2014
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