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CH041281X TAMPA FAMILY HEALTH CENTERS, INC. (Active)
Main Details
Name
TAMPA FAMILY HEALTH CENTERS, INC.
Subdivision Name
TFHC #22 - West Shore
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010681
340B ID
CH041281X
Grant Number
H80CS00407
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
Additional Details
Current Program Status
Active
Registration Date
8/8/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/29/2011
Last Recertification Date
1/29/2024
Addresses
Street Address
3901 S West Shore Blvd
Tampa, FL 33611-1003
Billing Address
TAMPA FAMILY HEALTH CENTERS, INC
PO BOX 82969
TAMPA, FL 33682-2969
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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