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DS RX LLC
STD336074 Doctor's Goodwill Foundation Inc
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Covered Entity Details
Entity Name
Doctor's Goodwill Foundation Inc
Subdivision Name
S Narawal
Type
Sexually Transmitted Diseases
340B ID
STD336074
Entity Address
3003 W Dr. Martin Luther King Jr Blvd.
Tampa, FL 33607
Grant Number
H25PS005131
Participating Start Date
1/1/2021
Last Recertification Date
5/11/2022
Entity Termination Date
10/1/2022
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
12/1/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
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
10/13/2020
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