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JTJ MEDICAL SUPPLY, INC.
CH04805J Bond Community Health Center, Inc.
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Covered Entity Details
Entity Name
Bond Community Health Center, Inc.
Subdivision Name
Bond on Magnolia
Type
HRSA-Funded Health Center
340B ID
CH04805J
Entity Address
2200 S Monroe St
201
Tallahassee, FL 32301
Grant Number
H80CS28957
Participating Start Date
7/1/2018
Last Recertification Date
2/4/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
JTJ MEDICAL SUPPLY, INC.
Pharmacy Address
DBA MAIL-MEDS CLINICAL PHARMACY
2200 S MONROE ST
SUITE 201
TALLAHASSEE, FL 32301-6303
Pharmacy Comments
Contract Details
Approval Date
4/5/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Robert Renzi, CEO
(850) 656-2437 Ext: 240
Contract Pharmacy Representative
JTJ Medical Supply, Inc.
Mark J. Theobald, Owner
(800) 939-2022 Ext: 111
Signed By Date
4/5/2018
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