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THE DRUG SHOPPE INC
STD336031 Empath Health, Inc.
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Covered Entity Details
Entity Name
Empath Health, Inc.
Subdivision Name
AIDS Service Association of Pinellas, Inc. dba EPIC
Type
Sexually Transmitted Diseases
340B ID
STD336031
Entity Address
4703 N Florida Ave
Tampa, FL 33603
Grant Number
1NU62PS924687-1-00
Participating Start Date
4/1/2022
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
THE DRUG SHOPPE INC
Pharmacy Address
THE DRUG SHOPPE, INC.
4060 N ARMENIA AVE
TAMPA, FL 33607-1002
Pharmacy Comments
Contract Details
Approval Date
4/8/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Saida Bouhamid, Chief Mission Financial Officer
(727) 523-3339
Contract Pharmacy Representative
The Drug Shoppe
Bhupendra Agravat, Pharamacist
(813) 870-3939
Signed By Date
4/8/2022
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