Contract Pharmacy Details

CAREMARK, L.L.C.
STD337563 West Central Gastroenterology dba Gastro Florida

Covered Entity Details

Entity Name

West Central Gastroenterology dba Gastro Florida

Subdivision Name

Gastro Florida Division 1b

Type

Sexually Transmitted Diseases

340B ID

STD337563

Entity Address

1300 S. Fort Harrison Ave., Ste. 100
Clearwater, FL 33756

Grant Number

H25PS005131

Participating Start Date

10/1/2021

Last Recertification Date

5/23/2024

Pharmacy Details

Pharmacy Name

CAREMARK, L.L.C.

Pharmacy Address

DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7251 S. EASTERN AVE.
LAS VEGAS, NV 89119

Pharmacy Comments

Contract Details

Approval Date

1/7/2022

Contract Begin Date

4/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Seena Salyani, CEO
(727) 347-0536

Contract Pharmacy Representative

WellPartner
Anthony McEeachern, Anthony McEachern
(315) 314-1802

Signed By Date

1/7/2022

340B Drug Pricing Program Database