Contract Pharmacy Details

LENO RX
STD334303 FLEX 4 MEDICAL CENTER CORP.

Covered Entity Details

Entity Name

FLEX 4 MEDICAL CENTER CORP.

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD334303

Entity Address

145 N. MAINSTREET
Suite 103
BELLE GLADE, FL 33430

Grant Number

NH25PS005131

Participating Start Date

12/11/2020

Last Recertification Date

5/13/2024

Pharmacy Details

Pharmacy Name

LENO RX

Pharmacy Address

1640 NE 148TH ST
SUITE 4
NORTH MIAMI, FL 33181

Pharmacy Comments

Contract Details

Approval Date

7/17/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/1/2023
Agreement registered in error

Contacts

Covered Entity Signing Official

Renal Roberty, President
(561) 560-7373

Contract Pharmacy Representative

Advance Care Services
Terry Leno, CEO
(786) 488-9030

Signed By Date

7/17/2023