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PHARMCO, LLC
STD33021 Community Care Resources Inc
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Covered Entity Details
Entity Name
Community Care Resources Inc
Subdivision Name
Community Care Resources of FL
Type
Sexually Transmitted Diseases
340B ID
STD33021
Entity Address
1008 W Hallandale Beach Boulevard
Hallandale, FL 33009
Grant Number
NH25PS005131
Participating Start Date
4/1/2020
Last Recertification Date
5/7/2024
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
1/7/2021
Contract Begin Date
1/11/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/15/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Victoria Barnhart, Director
(954) 362-5432
Contract Pharmacy Representative
Pharmco, LLC
Armen Karapetyan, General Manager
(305) 919-7399 Ext: 201
Signed By Date
1/7/2021
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