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RW424835G University of South Florida Health Pediatric Infectious Diseases (Approved)
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Main Details
Name
University of South Florida Health Pediatric Infectious Diseases
Subdivision Name
Johns Hopkins All Children's Hospital Outpatient Care Center
Type
Ryan White Part D
340B ID
RW424835G
Grant Number
H12HA24835
Additional Details
Current Program Status
Approved
Registration Date
4/1/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/4/2025
Last Recertification Date
Time Period the Assistance was Received
8/1/2022 - 7/31/2026
Contacts
Authorizing Official
University of South Florida
Patricia Emmanuel, Chair, Department of Pediatrics
(813) 259-8866
Primary Contact
University of South Florida
Kevin Astle, Clinical Pharmacist
(813) 974-4568
Addresses
Street Address
601 5th Street South
Suite 304
St Petersburg, FL 33701
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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April 2025
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