Contract Pharmacy Details

POSITIVE RX, LLC
STD33897 University of South Florida, College of Public Health

Covered Entity Details

Entity Name

University of South Florida, College of Public Health

Subdivision Name

Positively U

Type

Sexually Transmitted Diseases

340B ID

STD33897

Entity Address

1419 West Waters Ave
Suite #117
Winter Haven, FL 33604

Grant Number

5H25PS004342

Participating Start Date

10/1/2016

Last Recertification Date

5/13/2025

Pharmacy Details

Pharmacy Name

POSITIVE RX, LLC

Pharmacy Address

1420 W WATERS AVE, #1
TAMPA, FL 33604

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

5/7/2021
Pharmacy closed

Contacts

Covered Entity Signing Official

Janet Kitchen, Executive Director
(813) 857-2974

Contract Pharmacy Representative

Nota Consulting Group, LLC
Fungisai Nota, 340B Program Manager
(610) 742-7763

Signed By Date

7/16/2018

340B Drug Pricing Program Database