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RWI33614 St Josephs Hospital (Active)
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Main Details
Name
St Josephs Hospital
Subdivision Name
Tampa Care Clinic
Type
Ryan White Part A
340B ID
RWI33614
Grant Number
H89HA00024
Additional Details
Current Program Status
Active
Registration Date
4/12/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/20/2016
Last Recertification Date
2/26/2025
Time Period the Assistance was Received
3/1/2025 - 2/28/2026
Contacts
Authorizing Official
Baycare Health System
Carl Tremonti, Chief Financial Officer
(813) 870-4020
Primary Contact
BayCare Health System
Kyle J Brauer, Manager, BayCare Pharmacy Supply Chain
(813) 901-6376
Addresses
Street Address
4600 North Habana Avenue
Suite 15
Tampa, FL 33614
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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