340B Drug Pricing Program Database

Pharmacy Name

TAMPA FAMILY PHARMACY

Pharmacy Address

12470 TELECOM DR STE 110W
TEMPLE TERRACE, FL 33637

Pharmacy Comments

Approval Date

11/6/2019

Contract Begin Date

1/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/28/2025
Ownership change

Covered Entity Signing Official

Richard E. Carlisle, President & CEO
(941) 366-0134 Ext: 11111

Contract Pharmacy Representative

TFP Wellness Systems
Haley Miller, President
(813) 871-5161

Signed By Date

10/15/2019