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SOUTH BROWARD HOSPITAL DISTRICT
RWI33021 Memorial Division of Infectious Disease
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Covered Entity Details
Entity Name
Memorial Division of Infectious Disease
Subdivision Name
Type
Ryan White Part A
340B ID
RWI33021
Entity Address
5647 Hollywood Boulevard
Hollywood, FL 33021
Grant Number
H89HA000023500
Participating Start Date
10/1/2019
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
SOUTH BROWARD HOSPITAL DISTRICT
Pharmacy Address
MEMORIAL SPECIALTY PHARMACY
9571 PREMIER PKWY
MIRAMAR, FL 33025-3206
Pharmacy Comments
Contract Details
Approval Date
1/6/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
4/1/2020
Contract Comments
Contacts
Covered Entity Signing Official
Judy Lynne Frum, COO
(954) 265-4105
Contract Pharmacy Representative
Memorial Healthcare System
Dorinda Segovia, Vice President of Pharmacy Services
(954) 276-1770
Signed By Date
1/6/2020
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