340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AMERICAN INFUSION, LLC
STD32763 26Health, Inc.
Print
Covered Entity Details
Entity Name
26Health, Inc.
Subdivision Name
Gastroenterology of Greater Orlando, LLC
Type
Sexually Transmitted Diseases
340B ID
STD32763
Entity Address
2884 Wellness Ave
402
Orange City, FL 32763
Grant Number
1H25PS004342-02
Participating Start Date
7/1/2019
Last Recertification Date
5/4/2020
Entity Termination Date
10/1/2020
Pharmacy Details
Pharmacy Name
AMERICAN INFUSION, LLC
Pharmacy Address
DBA PRIORITY HEALTH RX
4625 HALDER LN STE A
ORLANDO, FL 32814
Pharmacy Comments
Contract Details
Approval Date
5/14/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
David Baker-Hargrove, President/Co-CEO
(321) 800-2922
Contract Pharmacy Representative
Priority Health Rx
Mark Daniel Brown, CEO
(855) 652-2163
Signed By Date
4/2/2019
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