340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DELTONA MEDICAL ARTS PHARMACY INC
STD327632 Doctor's Goodwill Foundation Inc
Print
Covered Entity Details
Entity Name
Doctor's Goodwill Foundation Inc
Subdivision Name
Prompt Care
Type
Sexually Transmitted Diseases
340B ID
STD327632
Entity Address
1133 Saxon Blvd
Orange City, FL 32763
Grant Number
H25PS005131
Participating Start Date
4/1/2021
Last Recertification Date
5/11/2022
Entity Termination Date
7/1/2023
Pharmacy Details
Pharmacy Name
DELTONA MEDICAL ARTS PHARMACY INC
Pharmacy Address
DBA TOWNCENTER PHARMACY DELTONA
1200 DELTONA BLVD STE 50
DELTONA, FL 32725-6386
Pharmacy Comments
Contract Details
Approval Date
2/12/2021
Contract Begin Date
4/1/2021
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
Apex Health RX
Areeba Khan, Admin
(845) 200-5593
Signed By Date
1/5/2021
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