Contract Pharmacy Details

ACARIAHEALTH PHARMACY, INC.
CHC31892-02 Centerplace Health, Inc.

Covered Entity Details

Entity Name

Centerplace Health, Inc.

Subdivision Name

North Port Health Center

Type

HRSA-Funded Health Center

340B ID

CHC31892-02

Entity Address

North Port Health Center
6950 Outreach Way
North Port, FL 34287-3405

Grant Number

H80CS31892

Participating Start Date

10/1/2018

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

ACARIAHEALTH PHARMACY, INC.

Pharmacy Address

6923 LEE VISTA BLVD STE 200
ORLANDO, FL 32822-4703

Pharmacy Comments

Contract Details

Approval Date

10/14/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Melissa Jo Parker, Chief Executive Officer
(941) 529-0244

Contract Pharmacy Representative

AcariaHealth
Patty Gayhart, Supervisor
(800) 511-5144 Ext: 8091000

Signed By Date

10/14/2020

340B Drug Pricing Program Database