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PHARMACY OF TAMPA, INC
DSH450128 KNAPP MEDICAL CENTER
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Covered Entity Details
Entity Name
KNAPP MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450128
Entity Address
1401 EAST EIGHTH STREET
WESLACO, TX 78596
Medicare Provider Number
450128
Participating Start Date
1/1/2017
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
PHARMACY OF TAMPA, INC
Pharmacy Address
D.B.A HOPE AND PACIFIC PHARMACY
4433 GUNN HWY
TAMPA, FL 33618-3361
Pharmacy Comments
Contract Details
Approval Date
7/16/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/4/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Claudia Sander, Director of Pharmacy
(956) 969-5363 Ext: 2762
Contract Pharmacy Representative
Independent Medical Group, LLC
Clifford W. Knights, CEO
(786) 523-2562
Signed By Date
7/16/2018
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