340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WINTER PARK PHARMACY
STD336121 Doctor's Goodwill Foundation Inc
Print
Covered Entity Details
Entity Name
Doctor's Goodwill Foundation Inc
Subdivision Name
Forest Hills
Type
Sexually Transmitted Diseases
340B ID
STD336121
Entity Address
116 Bougainvilea Ave
Tampa, FL 33612
Grant Number
H25PS005131
Participating Start Date
8/21/2020
Last Recertification Date
5/10/2021
Entity Termination Date
4/1/2022
Pharmacy Details
Pharmacy Name
WINTER PARK PHARMACY
Pharmacy Address
HEAL N HALE LLC
3090 ALOMA AVE STE 140
WINTER PARK, FL 32792-3743
Pharmacy Comments
Contract Details
Approval Date
8/5/2020
Contract Begin Date
8/21/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/8/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kantilal Bhalani, CEO
(321) 298-5531 Ext: 9414416212
Contract Pharmacy Representative
Winter Park Pharmacy
Shruti Patel, Manager
(407) 636-4670
Signed By Date
7/2/2020
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