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AB SPECIALTY PHARMACY INC.
STD335441 West Central Gastroenterology dba Gastro Florida
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Covered Entity Details
Entity Name
West Central Gastroenterology dba Gastro Florida
Subdivision Name
Gastro Florida Division 19
Type
Sexually Transmitted Diseases
340B ID
STD335441
Entity Address
3821 Maryweather Ln
Unit 101
Wesley Chapel, FL 33544
Grant Number
H25PS005131
Participating Start Date
10/1/2022
Last Recertification Date
5/23/2024
Pharmacy Details
Pharmacy Name
AB SPECIALTY PHARMACY INC.
Pharmacy Address
2311 SEVEN SPRINGS BLVD
NEW PORT RICHEY, FL 34655
Pharmacy Comments
Contract Details
Approval Date
10/12/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Seena Salyani, CEO
(727) 347-0536
Contract Pharmacy Representative
AB SPECIALTY PHARMACY INC
Bhupendra Patel, Pharmacy Manager
(727) 375-9520
Signed By Date
10/12/2022
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