Contract Pharmacy Details

COMMCARE PHARMACY-WPB, LLC
RWI33460 Compass, Inc.

Covered Entity Details

Entity Name

Compass, Inc.

Subdivision Name

Type

Ryan White Part A

340B ID

RWI33460

Entity Address

201 N. Dixie Hwy
Lake Worth, FL 33460

Grant Number

H89HA00034

Participating Start Date

10/1/2014

Last Recertification Date

2/15/2025

Pharmacy Details

Pharmacy Name

COMMCARE PHARMACY-WPB, LLC

Pharmacy Address

1689 FORUM PLACE
WEST PALM BEACH, FL 33401

Pharmacy Comments

Contract Details

Approval Date

7/14/2015

Contract Begin Date

10/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/5/2016
Pharmacy closed

Contacts

Covered Entity Signing Official

Patrice Huntley, Coordinator
(561) 533-9699

Contract Pharmacy Representative

Kendell McManamy, VP of Operations
(954) 585-7943

Signed By Date

7/14/2015