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PHARMCO, LLC
STD331691 CMJ HEALTH GROUP INC
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Covered Entity Details
Entity Name
CMJ HEALTH GROUP INC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD331691
Entity Address
111 NW 183 STREET
SUITE 209
MIAMI GARDENDS, FL 33169
Grant Number
NH25PS005131
Participating Start Date
4/1/2022
Last Recertification Date
5/31/2023
Entity Termination Date
7/1/2024
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
2/17/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
CHEYENNE EARLY, PRESIDENT
(786) 918-2745
Contract Pharmacy Representative
Pharmco, LLC
Armen Karapetyan, General Manager
(305) 919-7399 Ext: 201
Signed By Date
1/15/2022
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