Covered Entity Details

CH041281R TAMPA FAMILY HEALTH CENTERS, INC. (Active)

Main Details

Name

TAMPA FAMILY HEALTH CENTERS, INC.

Subdivision Name

TFHC#15 - OSHC

Type

HRSA-Funded Health Center

Site ID

BPS-H80-012813

340B ID

CH041281R

Grant Number

H80CS00407

Additional Details

Current Program Status

Active

Registration Date

7/8/2010

Participating Start Date

10/1/2010

Participating Approval Date

7/8/2010

Last Recertification Date

2/18/2025

Contacts

Authorizing Official

Tampa Family Health Centers, Inc.
Sherry Hoback, Chief Executive Officer
(813) 866-0930 Ext: 1319

Primary Contact

Tampa Family Health Centers, Inc
Lisa A Mazarik, Director of Pharmacy Affairs
(813) 557-9621

Addresses

Street Address

4620 N 22nd St
Tampa, FL 33610-6205

Billing Address

TAMPA FAMILY HEALTH CENTERS, INC
PO BOX 82969
TAMPA, FL 33682

Comment	Last Updated On
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4/8/14 due to an old site ID being in the record, this 340B record matched an EHB record that was terminated from the grant's scope, and thus OPA terminated it during recert effective 4/1/14, on 4/8 it was discovered that there was another EHB site record that it matched (apparently a slight address correction was handled as a termination/add in EHB, the 340B record was unterminated on 4/8/14 and site ID corrected	04/08/2014

340B Drug Pricing Program Database