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PHARMCO, LLC
STD334832 Flex 4 Medical Center
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Covered Entity Details
Entity Name
Flex 4 Medical Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD334832
Entity Address
500 GULFSTREAM BLVD
STE 106
DELRAY BEACH, FL 33483
Grant Number
NH25PS005131
Participating Start Date
10/1/2021
Last Recertification Date
6/5/2022
Entity Termination Date
4/1/2023
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
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Renal Roberty, President
(561) 560-7373
Contract Pharmacy Representative
Pharmco, LLC
Armen Karapetyan, General Manager
(305) 919-7399 Ext: 201
Signed By Date
10/15/2021
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