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MEDWINS PHARMACY INC
STD33823 Polk County Health Department
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Covered Entity Details
Entity Name
Polk County Health Department
Subdivision Name
Auburndale Clinic
Type
Sexually Transmitted Diseases
340B ID
STD33823
Entity Address
1805 Hobbs Road
Auburndale, FL 33823-4644
Grant Number
NH25PS005131
Participating Start Date
1/1/2015
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
MEDWINS PHARMACY INC
Pharmacy Address
CENTRAL PHARMACY
740 W MAIN ST UNIT 5
BUILDING 1
HAINES CITY, FL 33844
Pharmacy Comments
Contract Details
Approval Date
4/2/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joy Jackson, Director
(863) 578-2101
Contract Pharmacy Representative
Central Pharmacy
Abish Thomas, PharmD.
(863) 419-7777
Signed By Date
4/2/2021
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