340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RX CARE OF TAMPA LLC
FQHCLA407E Metropolitan Charities, Inc.
Print
Covered Entity Details
Entity Name
Metropolitan Charities, Inc.
Subdivision Name
METRO Mobile Unit
Type
Health Center Program Look-Alike
340B ID
FQHCLA407E
Entity Address
11201 Corporate Circle North
Suite 140
Saint Petersburg, FL 33716
Grant Number
LALCS35348
Participating Start Date
8/26/2021
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
RX CARE OF TAMPA LLC
Pharmacy Address
METRO INCLUSIVE PHARMACY, LLC
2235 CENTRAL AVE STE A
ST PETERSBURG, FL 33713
Pharmacy Comments
Contract Details
Approval Date
10/11/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Priya Rajkumar, Chief Executive Officer
(727) 321-3854 Ext: 1230
Contract Pharmacy Representative
CVS
Walter Jury, Account Manager
(315) 271-5312
Signed By Date
10/11/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session