Contract Pharmacy Details

POSITIVE RX, LLC
STD33880 University of South Florida

Covered Entity Details

Entity Name

University of South Florida

Subdivision Name

Positively U, Inc.

Type

Sexually Transmitted Diseases

340B ID

STD33880

Entity Address

320 1st Street South
Winter Haven, FL 33880

Grant Number

5H25PS004342

Participating Start Date

7/1/2018

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

4/12/2021
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