340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CENTRAL PHARMACY
HV33830 FLORIDA DEPARTMENT OF HEALTH in POLK COUNTY
Print
Covered Entity Details
Entity Name
FLORIDA DEPARTMENT OF HEALTH in POLK COUNTY
Subdivision Name
Type
Ryan White Part C
340B ID
HV33830
Entity Address
1290 GOLFVIEW AVENUE - 4TH FLOOR
BARTOW, FL 33830
Grant Number
H76HA00596
Participating Start Date
1/1/2001
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
CENTRAL PHARMACY
Pharmacy Address
1671 EAST HINSON AVE
HAINES CITY, FL 33844-4908
Pharmacy Comments
Contract Details
Approval Date
4/9/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/13/2020
Agreement registered in error
Contacts
Covered Entity Signing Official
Joy Jackson, Director
(863) 578-2101
Contract Pharmacy Representative
Central Pharmacy
Abish Thomas, PharmD.
(863) 419-7777
Signed By Date
4/9/2020
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