Contract Pharmacy Details

CURANT HEALTH FLORIDA, LLC
RWII42420A Matthew 25 AIDS Services, Inc.

Covered Entity Details

Entity Name

Matthew 25 AIDS Services, Inc.

Subdivision Name

Type

Ryan White Part B

340B ID

RWII42420A

Entity Address

811 Fairview Avenue
Bowling Green, KY 42101

Grant Number

X07HA00008

Participating Start Date

4/21/2020

Last Recertification Date

2/12/2024

Entity Termination Date

4/1/2025

Pharmacy Details

Pharmacy Name

CURANT HEALTH FLORIDA, LLC

Pharmacy Address

11001 ROOSEVELT BLVD STE 1400
ST PETERSBURG, FL 33716-2338

Pharmacy Comments

7/12/2010 - PHARMACY MOVED FROM 7205 BRYAN DAIRY ROAD.

Contract Details

Approval Date

4/21/2020

Contract Begin Date

4/23/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2025
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Gloria Dennis, Federal Program Specialist/Supervisor
(502) 564-3576

Contract Pharmacy Representative

Curant
Amber Adams, 304B Partnerships Leader
(770) 437-8040

Signed By Date

4/3/2020

340B Drug Pricing Program Database