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AB SPECIALTY PHARMACY INC.
STD34698 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 02b
Type
Sexually Transmitted Diseases
340B ID
STD34698
Entity Address
646 Virginia St
5th Floor
Dunedin, FL 34698
Grant Number
H25PS005131
Participating Start Date
7/1/2024
Last Recertification Date
5/9/2025
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
5/15/2024
Contract Begin Date
7/1/2024
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
4/15/2024
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