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PHARMCO, LLC
STD33445 WHEAT LLC
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Covered Entity Details
Entity Name
WHEAT LLC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33445
Entity Address
1601 S Congress Avenue
Delray Beach, FL 33445
Grant Number
NH25PS005131
Participating Start Date
5/8/2020
Last Recertification Date
6/3/2024
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
5/11/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Regina F Cooper, Director
(954) 661-7227
Contract Pharmacy Representative
Pharmco, LLC
Armen Karapetyan, General Manager
(305) 919-7399 Ext: 201
Signed By Date
5/11/2020
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