Contract Pharmacy Details

A CHEM RX, LLC
CH0414900 HEALTH, FLORIDA DEPARTMENT OF

Covered Entity Details

Entity Name

HEALTH, FLORIDA DEPARTMENT OF

Subdivision Name

NCCHC Spring Hill Campus

Type

HRSA-Funded Health Center

340B ID

CH0414900

Entity Address

7551 Forest Oaks Blvd
Spring Hill, FL 34606-2437

Grant Number

H80CS06444

Participating Start Date

7/1/2007

Last Recertification Date

1/26/2017

Entity Termination Date

7/1/2017

Pharmacy Details

Pharmacy Name

A CHEM RX, LLC

Pharmacy Address

DBA CORTEZ DRUGS
12116 CORTEZ BLVD
BROOKSVILLE, FL 34613

Pharmacy Comments

11/21/2010 - NAME CHANGED FROM CORTEZ DRUGS BASED ON 11/17 E-MAIL FROM ENTITY.

Contract Details

Approval Date

12/1/2007

Contract Begin Date

12/1/2007

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2017

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Anish Chemparathy, PHARMACIST
(352) 592-1320

Signed By Date

11/19/2007

340B Drug Pricing Program Database