Contract Pharmacy Details

PHARMCO, LLC
STD33029 First Class OBGYN

Covered Entity Details

Entity Name

First Class OBGYN

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD33029

Entity Address

1951 SW 172nd avenue
Suite 212
Miramar, FL 33029

Grant Number

NH25PS005131

Participating Start Date

1/1/2025

Last Recertification Date

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

11/25/2024

Contract Begin Date

1/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Darlene Mejia, Office Manager
(305) 962-8374

Contract Pharmacy Representative

Pharmco
Carlos Rangel, Director of Marketing Operations
(305) 760-2053

Signed By Date

10/11/2024

340B Drug Pricing Program Database