340B Drug Pricing Program Database

Pharmacy Name

SOUTH BROWARD HOSPITAL DISTRICT

Pharmacy Address

MEMORIAL REGIONAL HOSPITAL PRIMARY CARE
4105 PEMBROKE RD.
HOLLYWOOD, FL 33021

Pharmacy Comments

Approval Date

2/16/2021

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