340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PINES HEALTH MART PHARMACY
STD33484 PolyClinique de West Palm Beach
Print
Covered Entity Details
Entity Name
PolyClinique de West Palm Beach
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33484
Entity Address
5353 West Atlantic Avenue
Suite 405
Delray Beach, FL 33484
Grant Number
NH25PS005131
Participating Start Date
8/9/2022
Last Recertification Date
5/31/2024
Pharmacy Details
Pharmacy Name
PINES HEALTH MART PHARMACY
Pharmacy Address
2301 N UNIVERSITY DR STE 112
PEMBROKE PINES, FL 33024-3617
Pharmacy Comments
Contract Details
Approval Date
9/6/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Irene Figaro, RN
(561) 276-3000
Contract Pharmacy Representative
Pines Health Mart Pharmacy
Mohammed Arshad Ali, CEO
(954) 404-6610
Signed By Date
9/6/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session