Contract Pharmacy Details

MORRISON'S RX INC
STD33445 WHEAT LLC

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

MORRISON'S RX INC

Pharmacy Address

7535 W OAKLAND PARK BLVD
TAMARAC, FL 33319-4909

Pharmacy Comments

Contract Details

Approval Date

5/12/2020

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

Morrison's RX
Dr. Morrison, PharmD
(954) 578-5858

Signed By Date

5/12/2020