340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PHARMACON
HM33407 Kidz Medical Services, Inc.
Print
Covered Entity Details
Entity Name
Kidz Medical Services, Inc.
Subdivision Name
Kidz Pediatric Hematology & Oncology- West Palm Beach
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM33407
Entity Address
927 45th Street
Suite 201
West Palm Beach, FL 33407
Grant Number
6 H30MC24046-06-02
Participating Start Date
10/1/2024
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PHARMACON
Pharmacy Address
160 SW 12TH AVE STE 101D
DEERFIELD BEACH, FL 33442
Pharmacy Comments
Contract Details
Approval Date
10/8/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lindsay Mendiola, Chief Financial Officer
(305) 661-1515 Ext: 303
Contract Pharmacy Representative
Intracare-Pharmacon
Miles Gilman, PharmD
(305) 582-7303
Signed By Date
10/8/2024
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