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PHARMCO, LLC
STD33178 MultiCare Community Services
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Covered Entity Details
Entity Name
MultiCare Community Services
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33178
Entity Address
4055 NW 97th Ave
First Floor
Doral, FL 33178
Grant Number
NH25PS005131
Participating Start Date
7/1/2023
Last Recertification Date
5/9/2024
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
1/11/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Amanda M Cruz, Program Manager
(305) 439-0318
Contract Pharmacy Representative
pharmco LLC
Pamela Roberts, COO
(303) 919-7399 Ext: 210
Signed By Date
1/11/2024
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