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CURANT HEALTH FLORIDA, LLC
RWI06112 Connecticut Children's Specialty Group
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Covered Entity Details
Entity Name
Connecticut Children's Specialty Group
Subdivision Name
Ryan White Clinic
Type
Ryan White Part A
340B ID
RWI06112
Entity Address
282 Washington St
Hartford, CT 06106
Grant Number
H89HA00044
Participating Start Date
1/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CURANT HEALTH FLORIDA, LLC
Pharmacy Address
11001 ROOSEVELT BLVD STE 1400
ST PETERSBURG, FL 33716-2338
Pharmacy Comments
7/12/2010 - PHARMACY MOVED FROM 7205 BRYAN DAIRY ROAD.
Contract Details
Approval Date
10/14/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Danielle Warren-Dias, Program Coordinator
(860) 525-4006
Contract Pharmacy Representative
Signed By Date
10/14/2015
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