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FQHCLA407F Metropolitan Charities, Inc. (Active)
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Main Details
Name
Metropolitan Charities, Inc.
Subdivision Name
METRO Brandon
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-036888
340B ID
FQHCLA407F
Grant Number
LALCS35348
Additional Details
Current Program Status
Active
Registration Date
10/4/2023
Participating Start Date
10/16/2023
Participating Approval Date
10/13/2023
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Metropolitan Charities, Inc.
Priya Rajkumar, Chief Executive Officer
(727) 321-3854 Ext: 1230
Primary Contact
Metropolitan Charities, Inc.
Samantha Legg, Vice President of Clinical Services and Compliance
(727) 321-3854 Ext: 1265
Addresses
Street Address
302 Bryan Rd
Brandon, FL 33511-5337
Billing Address
Metropolitan Charities, Inc.
701 94th Avenue North
Suite 250
St Petersburg, FL 33702
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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