340B Drug Pricing Program Database
TAMPA FAMILY PHARMACY
RWII34982 Midway Specialty Care Center Inc - information as of 4/29/2025 1:54:38 AM
Covered Entity Details
Entity Name
Midway Specialty Care Center Inc
Subdivision Name
Type
Ryan White Part B
340B ID
RWII34982
Entity Address
356 E MIDWAY RD
Fort Pierce, FL 34982
Grant Number
X07HA00057
Participating Start Date
1/1/2014
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
TAMPA FAMILY PHARMACY
Pharmacy Address
12470 TELECOM DR STE 110W
TEMPLE TERRACE, FL 33637
Pharmacy Comments
Contract Details
Approval Date
10/14/2020
Contract Begin Date
11/6/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kathryn E Hayden, CFO
(772) 742-9276
Contract Pharmacy Representative
TAMPA FAMILY PHARMACY
Lakala D Latson, Director
(866) 871-5670
Signed By Date
10/14/2020
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