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FAMILY PHYSICIANS RX
STD33130 Survivors Pathway Corporation
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Covered Entity Details
Entity Name
Survivors Pathway Corporation
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33130
Entity Address
33 sw 2nd ave
ste 901
miami, FL 33130
Grant Number
NH25PS005131
Participating Start Date
8/18/2023
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
FAMILY PHYSICIANS RX
Pharmacy Address
PHARMCORX 1103
1160 S SEMORAN BLVD STE DEF
ORLANDO, FL 32807
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Francesco Duberli, Chief Executive Officer
(305) 299-1957
Contract Pharmacy Representative
pharmco LLC
Pamela Roberts, COO
(303) 919-7399 Ext: 210
Signed By Date
4/15/2024
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