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AMERICA'S PHARMACY
CHC31892-05 Centerplace Health, Inc.
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Covered Entity Details
Entity Name
Centerplace Health, Inc.
Subdivision Name
CenterPlace Health 17th St Building N
Type
HRSA-Funded Health Center
340B ID
CHC31892-05
Entity Address
1750 17th St BLDG N
Sarasota, FL 34234
Grant Number
H80CS31892
Participating Start Date
4/1/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
AMERICA'S PHARMACY
Pharmacy Address
AMERICA'S PHARMACY LLC
3470 17TH ST
SARASOTA, FL 34235-8906
Pharmacy Comments
Contract Details
Approval Date
11/14/2023
Contract Begin Date
11/15/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kari Aud Ellingstad, CEO
(941) 529-2422
Contract Pharmacy Representative
America's Pharmacy
Elder Soria, Owner and PIC
(941) 955-7700
Signed By Date
11/14/2023
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