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CCN AMERICA, LP
RWI32205 Northeast Florida AIDS Network, Inc.
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Covered Entity Details
Entity Name
Northeast Florida AIDS Network, Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI32205
Entity Address
2715 Oak Street
Jacksonville, FL 32205
Grant Number
H89HA00039
Participating Start Date
7/1/2018
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
CCN AMERICA, LP
Pharmacy Address
COORDINATED CARE NETWORK PHARMACY
1500 W CYPRESS CREEK RD STE 203
FT LAUDERDALE, FL 33309
Pharmacy Comments
Contract Details
Approval Date
4/19/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donna M Fuchs, Executive Director
(904) 356-1612
Contract Pharmacy Representative
Coordinated Care Network
Thomas J Pollack, President/CEO
(412) 349-6300
Signed By Date
4/11/2018
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