340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DS RX LLC
STD336112 Doctor's Goodwill Foundation Inc
Print
Covered Entity Details
Entity Name
Doctor's Goodwill Foundation Inc
Subdivision Name
Dr. NP - Hillsborough
Type
Sexually Transmitted Diseases
340B ID
STD336112
Entity Address
4543 S Manhattan Ave
103
Tampa, FL 33611
Grant Number
H25PS005131
Participating Start Date
7/1/2020
Last Recertification Date
5/3/2021
Entity Termination Date
10/1/2021
Pharmacy Details
Pharmacy Name
DS RX LLC
Pharmacy Address
ACME PHARMACY
1548 E FOWLER AVE
TAMPA, FL 33612-5416
Pharmacy Comments
Contract Details
Approval Date
5/21/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kantilal Bhalani, CEO
(321) 298-5531 Ext: 9414416212
Contract Pharmacy Representative
Acme Pharmacy 2
Siddharth Patel, Owner
(813) 966-3195
Signed By Date
5/21/2020
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