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CH041281Y TAMPA FAMILY HEALTH CENTERS, INC. (Terminated)
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Main Details
Name
TAMPA FAMILY HEALTH CENTERS, INC.
Subdivision Name
TFHC #12 - Mobil Dental Van
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007699
340B ID
CH041281Y
Grant Number
H80CS00407
Additional Details
Current Program Status
Terminated
Registration Date
9/7/2011
Participating Start Date
1/1/2012
Participating Approval Date
11/10/2011
Last Recertification Date
2/8/2021
Termination Date
Termination Reason
4/1/2021
Site closure
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.
Jeffrey Parrado, Chief Pharmacy Officer
(813) 866-0930 Ext: 1363
Addresses
Street Address
1502 E Fowler Ave
Tampa, FL 33612-5416
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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