340B Drug Pricing Program Database

Pharmacy Name

PINES HEALTH MART PHARMACY

Pharmacy Address

2301 N UNIVERSITY DR STE 112
PEMBROKE PINES, FL 33024-3617

Pharmacy Comments

Approval Date

9/4/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Arshad Ali Mohammed, DIRECTOR
(786) 863-5539

Contract Pharmacy Representative

BENEVOLENCE MEDICAL SERVICES INC
ANA MARIA GONZALEZ, Assistant director
(305) 952-4384

Signed By Date

7/3/2023