340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-5196
CH0412810 TAMPA FAMILY HEALTH CENTERS, INC.
Print
Covered Entity Details
Entity Name
TAMPA FAMILY HEALTH CENTERS, INC.
Subdivision Name
TFHC #16 New Nebraska
Type
HRSA-Funded Health Center
340B ID
CH0412810
Entity Address
12410 N Nebraska Ave
Tampa, FL 33612
Grant Number
H80CS00407
Participating Start Date
7/1/1995
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5196
Pharmacy Address
5255 ELVIS PERSLEY BLVD
MEMPHIS(ELVIS HOLMES), TN 38116
Pharmacy Comments
Contract Details
Approval Date
4/7/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/14/2020
Agreement registered in error
Contacts
Covered Entity Signing Official
Sherry Hoback, Chief Executive Officer
(813) 866-0930 Ext: 1319
Contract Pharmacy Representative
Tampa Family Health Centers, Inc.
Jeffrey Parrado, Chief Pharmacy Officer
(813) 866-0930 Ext: 1363
Signed By Date
4/7/2020
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