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EXPRESS SCRIPTS PHARMACY, INC.
RWII34695 AIDS HEALTHCARE FOUNDATION
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Covered Entity Details
Entity Name
AIDS HEALTHCARE FOUNDATION
Subdivision Name
AHF HEALTH POSITIVE/TAMPA BAY
Type
Ryan White Part B
340B ID
RWII34695
Entity Address
3135 STATE ROAD 580
SUITE 1
SAFETY HARBOR, FL 34695
Grant Number
X07HA00057
Participating Start Date
1/1/2011
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
EXPRESS SCRIPTS PHARMACY, INC.
Pharmacy Address
DBA EXPRESS SCRIPTS
4750 E. 450 S.
WHITESTOWN, IN 46075
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Philip Ho, Senior Director of Pharmacy and 340B Compliance
(323) 860-5323
Contract Pharmacy Representative
Express Scripts
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
4/15/2020
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