340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
POMP PHARMACY LLC
STD333052 Independent Medical Group, LLC
Print
Covered Entity Details
Entity Name
Independent Medical Group, LLC
Subdivision Name
Fort Lauderdale
Type
Sexually Transmitted Diseases
340B ID
STD333052
Entity Address
3800 Inverrary Blve
109
Fort Lauderdale, FL 33319
Grant Number
NH25PS004342-04-01
Participating Start Date
9/17/2019
Last Recertification Date
5/9/2022
Entity Termination Date
7/1/2023
Pharmacy Details
Pharmacy Name
POMP PHARMACY LLC
Pharmacy Address
POMPANO PHARMACY
60 NE 1ST ST
POMPANO BEACH, FL 33060
Pharmacy Comments
Contract Details
Approval Date
9/17/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/14/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Steve Vixamar, COO
(954) 529-1178
Contract Pharmacy Representative
Benzer Pharmacy
Komal Patel, Pharmacist
(786) 615-8627
Signed By Date
9/17/2019
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