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PHARMCO
STD33484 PolyClinique de West Palm Beach
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Covered Entity Details
Entity Name
PolyClinique de West Palm Beach
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33484
Entity Address
5353 West Atlantic Avenue
Suite 405
Delray Beach, FL 33484
Grant Number
NH25PS005131
Participating Start Date
8/9/2022
Last Recertification Date
5/31/2024
Pharmacy Details
Pharmacy Name
PHARMCO
Pharmacy Address
400 ANSIN BLVD STE B
HALLANDALE BEACH, FL 33009
Pharmacy Comments
Contract Details
Approval Date
11/30/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Irene Figaro, RN
(561) 276-3000
Contract Pharmacy Representative
Pharmco, LLC
Armen Karapetyan, General Manager
(305) 919-7399 Ext: 201
Signed By Date
10/13/2021
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