340B Drug Pricing Program Database
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RRC100069-00 ADVENTHEALTH CARROLLWOOD (Approved)
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Main Details
Name
ADVENTHEALTH CARROLLWOOD
Subdivision Name
Type
Rural Referral Center
Rural
No
340B ID
RRC100069-00
Medicare Provider Number
100069
Additional Details
Current Program Status
Approved
Registration Date
4/3/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/8/2025
Last Recertification Date
Contacts
Authorizing Official
AdventHealth Carrollwood
Christopher Tyson Sauder, CFO
(813) 558-4926
Primary Contact
AdventHealth Tampa
Rey Velez, 340B Program Coordinator
(813) 615-7244
Addresses
Street Address
7171 NORTH DALE MABRY HIGHWAY
TAMPA, FL 33614
Billing Address
AdventHealth Carrollwood
c/o AdventHealth
902 Inspiration Avenue
Suite 9100
Altamonte Springs, FL 32714
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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