Contract Pharmacy Details

ROYAL RX PHARMACY
CH044310 MCR Health, Inc.

Covered Entity Details

Entity Name

MCR Health, Inc.

Subdivision Name

EDGAR J. PRICE FAMILY & CHILDREN HEALTHCARE CENTER

Type

HRSA-Funded Health Center

340B ID

CH044310

Entity Address

12271 US HIGHWAY 301 NORTH
Parrish, FL 34219-8410

Grant Number

H80CS00097

Participating Start Date

12/1/1992

Last Recertification Date

2/25/2025

Pharmacy Details

Pharmacy Name

ROYAL RX PHARMACY

Pharmacy Address

4941 E BUSCH BLVD
SUITE 240
TAMPA, FL 33617-6056

Pharmacy Comments

Contract Details

Approval Date

10/17/2016

Contract Begin Date

1/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/30/2019
Pharmacy closed

Contacts

Covered Entity Signing Official

WALTER L. PRESHA, CEO
(941) 776-4000

Contract Pharmacy Representative

Walter Kyles, President
(813) 980-6334

Signed By Date

10/17/2016