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FAMILY PHYSICIANS RX
STD329012 SPEKTRUM Health Melbourne
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Covered Entity Details
Entity Name
SPEKTRUM Health Melbourne
Subdivision Name
FDOH Area 7
Type
Sexually Transmitted Diseases
340B ID
STD329012
Entity Address
1920 South Babcock Street
Melbourne, FL 32901
Grant Number
1H25PS005131
Participating Start Date
8/9/2021
Last Recertification Date
5/8/2024
Pharmacy Details
Pharmacy Name
FAMILY PHYSICIANS RX
Pharmacy Address
DBA PHARMCORX 1204
901 N MIAMI BEACH BLVD STE 1
NORTH MIAMI BEACH, FL 33162-3720
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joseph Anthony Knoll, CEO
(407) 454-1363 Ext: 5001
Contract Pharmacy Representative
pharmco LLC
Pamela Roberts, COO
(303) 919-7399 Ext: 210
Signed By Date
7/15/2024
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