340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WELLGISTICS PHARMACY LLC
RWI33712A Empath Health, Inc.
Print
Covered Entity Details
Entity Name
Empath Health, Inc.
Subdivision Name
AIDS Service Association of Pinellas, Inc. dba EPIC
Type
Ryan White Part A
340B ID
RWI33712A
Entity Address
5771 Roosevelt Blvd
720
Clearwater, FL 33760
Grant Number
H89HA00024
Participating Start Date
10/1/2015
Last Recertification Date
1/31/2019
Entity Termination Date
1/1/2020
Pharmacy Details
Pharmacy Name
WELLGISTICS PHARMACY LLC
Pharmacy Address
WELLGISTICS HUB
6308 BENJAMIN RD STE 709
TAMPA, FL 33634
Pharmacy Comments
09/07/2012 updated address (was 1100 N. Tuttle Avenue Sarasota 34237)
Contract Details
Approval Date
1/21/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mitchel Morel, CFO
(727) 523-3339
Contract Pharmacy Representative
Community Specialty Pharmacy
Nik Pancel, President
(727) 896-0001
Signed By Date
1/21/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session