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PHARMACON
HM33146 Kidz Medical Services, Inc.
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Covered Entity Details
Entity Name
Kidz Medical Services, Inc.
Subdivision Name
KIDZ Pediatric Hematology & Oncology
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM33146
Entity Address
3100 SW 62nd Ave
Suite 121/NE Wing
Miami, FL 33155
Grant Number
6 H30MC24046-06-02
Participating Start Date
7/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PHARMACON
Pharmacy Address
160 SW 12TH AVE STE 101D
DEERFIELD BEACH, FL 33442
Pharmacy Comments
Contract Details
Approval Date
1/12/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
George MacConnell, CFO
(305) 661-1515 Ext: 244
Contract Pharmacy Representative
Intracare-Pharmacon
Miles Gilman, PharmD
(305) 582-7303
Signed By Date
1/12/2021
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