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ORLANDO PROCARE PHARMACY
STD336072 Hope and Help Center of Central Florida, Inc.
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Covered Entity Details
Entity Name
Hope and Help Center of Central Florida, Inc.
Subdivision Name
Diversity Health Center of Tampa Bay
Type
Sexually Transmitted Diseases
340B ID
STD336072
Entity Address
4302 N. Habana Ave.
Suite 200
Tampa, FL 33607-6368
Grant Number
NH25PS005131
Participating Start Date
4/1/2018
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
ORLANDO PROCARE PHARMACY
Pharmacy Address
2021 S ORANGE AVE
ORLANDO, FL 32806-3035
Pharmacy Comments
Contract Details
Approval Date
10/13/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa Barr, Executive Director
(407) 645-2577 Ext: 121
Contract Pharmacy Representative
Orlando ProCare Pharmacy
Anas Alashari, President
(407) 730-3557
Signed By Date
10/13/2021
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