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FAMILY PHYSICIANS RX
STD330302 Mani Medical Center
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Covered Entity Details
Entity Name
Mani Medical Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD330302
Entity Address
151 NW 11th Street
W303
Homestead, FL 33030
Grant Number
NH25PS005131
Participating Start Date
12/7/2021
Last Recertification Date
5/9/2024
Pharmacy Details
Pharmacy Name
FAMILY PHYSICIANS RX
Pharmacy Address
DBA PHARMCORX 1204
901 N MIAMI BEACH BLVD STE 1
NORTH MIAMI BEACH, FL 33162-3720
Pharmacy Comments
Contract Details
Approval Date
1/13/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steve Taylor, CEO/Present
(954) 854-7475
Contract Pharmacy Representative
Pharmco, LLC
Armen Karapetyan, General Manager
(305) 919-7399 Ext: 201
Signed By Date
1/13/2023
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