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PHARMCO, LLC
STD33161 MJD Wellness Center
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Covered Entity Details
Entity Name
MJD Wellness Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33161
Entity Address
822 NE 125th Street
Suite 103
Nortth Miami, FL 33161
Grant Number
NH25PS005131
Participating Start Date
5/14/2020
Last Recertification Date
5/30/2024
Pharmacy Details
Pharmacy Name
PHARMCO, LLC
Pharmacy Address
PHARMCO
400 ANSIN BLVD
STE A
HALLANDALE BEACH, FL 33009-3104
Pharmacy Comments
Contract Details
Approval Date
5/6/2020
Contract Begin Date
5/14/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Emmanuella Fleurimont, Executive Director
(786) 406-5886
Contract Pharmacy Representative
Pharmco, LLC
Armen Karapetyan, General Manager
(305) 919-7399 Ext: 201
Signed By Date
4/2/2020
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