340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
QUICK SCRIPT PHARMACY
STD33309 Treatment Outreach Program
Print
Covered Entity Details
Entity Name
Treatment Outreach Program
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33309
Entity Address
2800 East Commercial Blvd
Suite 209
Ft. Lauderdale, FL 33309
Grant Number
NH25PS005131
Participating Start Date
10/1/2019
Last Recertification Date
5/13/2022
Entity Termination Date
7/1/2023
Pharmacy Details
Pharmacy Name
QUICK SCRIPT PHARMACY
Pharmacy Address
2408 WILTON DR
WILTON MANORS, FL 33305
Pharmacy Comments
Contract Details
Approval Date
8/16/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Demora Smith, Director
(561) 265-5306
Contract Pharmacy Representative
Quick Scripts Pharmacy
Sam Fawaz, Pharmacist In Charge
(954) 514-7685
Signed By Date
7/15/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session