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POSITIVE RX, LLC
STD33603 Tampa-Hillsborough Action Plan Inc. (THAP Inc.)
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Covered Entity Details
Entity Name
Tampa-Hillsborough Action Plan Inc. (THAP Inc.)
Subdivision Name
Synergy Health Centers, Inc.
Type
Sexually Transmitted Diseases
340B ID
STD33603
Entity Address
5508 N 50TH STREET
Tampa, FL 33610
Grant Number
5H25PS004342
Participating Start Date
7/1/2017
Last Recertification Date
5/16/2024
Pharmacy Details
Pharmacy Name
POSITIVE RX, LLC
Pharmacy Address
1420 W WATERS AVE, #1
TAMPA, FL 33604
Pharmacy Comments
Contract Details
Approval Date
4/12/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/15/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
Monica A. Herrera, Program Coordinator
(813) 404-4430
Contract Pharmacy Representative
Nota Consulting Group, LLC
Fungisai Nota, 340B Program Manager
(610) 742-7763
Signed By Date
4/12/2019
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