340B Drug Pricing Program Database

Pharmacy Name

SOUTH BROWARD HOSPITAL DISTRICT

Pharmacy Address

MEMORIAL WEST OUTPATIENT PHARMACY
601 N FLAMINGO RD STE 110
PEMBROKE PINES, FL 33028-1007

Pharmacy Comments

Approval Date

3/9/2021

Contract Begin Date

4/1/2021

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Peter Powers, CEO, Memorial Regional Hospital
(954) 265-5814

Contract Pharmacy Representative

Memorial Healthcare System
Dorinda Segovia, Vice President of Pharmacy Services
(954) 276-1770

Signed By Date

1/13/2021