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CURANT HEALTH FLORIDA, LLC
RWII86305A Northland Cares
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Covered Entity Details
Entity Name
Northland Cares
Subdivision Name
Type
Ryan White Part B
340B ID
RWII86305A
Entity Address
107 West Frontier Road, Suite A
Payson, AZ 85541
Grant Number
X07HA00080
Participating Start Date
4/1/2016
Last Recertification Date
2/8/2020
Entity Termination Date
7/1/2020
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
2/10/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Curant
Amber Adams, 304B Partnerships Leader
(770) 437-8040
Signed By Date
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