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YOUR HEALTH PHARMACY
STD33180 WHEAT Community Services
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Covered Entity Details
Entity Name
WHEAT Community Services
Subdivision Name
Miami-Dade
Type
Sexually Transmitted Diseases
340B ID
STD33180
Entity Address
2627 NE 203RD ST STE 109
Suite 109
Miami, FL 33180
Grant Number
NH25PS005131
Participating Start Date
5/8/2020
Last Recertification Date
6/3/2024
Pharmacy Details
Pharmacy Name
YOUR HEALTH PHARMACY
Pharmacy Address
YOUR HEALTH PHARMACY
12 N FEDERAL HWY
SUITE A
POMPANO BEACH, FL 33062-4305
Pharmacy Comments
Contract Details
Approval Date
5/8/2020
Contract Begin Date
5/11/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/29/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Regina F Cooper, CEO
(954) 661-7227
Contract Pharmacy Representative
Your Health Pharmacy
C. Mac McMillan, Pharmd, MSP, RPh
(954) 283-7075
Signed By Date
4/15/2020
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