Contract Pharmacy Details

PHARMCO, LLC
RWIID32304 FLORIDA DEPARTMENT OF HEALTH

Covered Entity Details

Entity Name

FLORIDA DEPARTMENT OF HEALTH

Subdivision Name

AIDS Drug Assistance Program (ADAP)

Type

Ryan White Part B ADAP Direct Purchase

340B ID

RWIID32304

Entity Address

4052 BALD CYPRESS WAY
BIN A-09
TALLAHASSEE, FL 32399

Grant Number

X07HA00057

Participating Start Date

1/1/2009

Last Recertification Date

2/18/2025

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

2/16/2023

Contract Begin Date

4/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

JIMMY ROGER LLAQUE, ADAP STATE PROGRAM DIRECTOR
(850) 545-6836

Contract Pharmacy Representative

PharmCo
Birute Norkute, COO
(561) 651-9393

Signed By Date

2/16/2023

340B Drug Pricing Program Database