Contract Pharmacy Details

CENTERWELL PHARMACY, INC.
CH0412810 TAMPA FAMILY HEALTH CENTERS, INC.

Covered Entity Details

Entity Name

TAMPA FAMILY HEALTH CENTERS, INC.

Subdivision Name

TFHC #16 New Nebraska

Type

HRSA-Funded Health Center

340B ID

CH0412810

Entity Address

12410 N Nebraska Ave
Tampa, FL 33612

Grant Number

H80CS00407

Participating Start Date

7/1/1995

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

CENTERWELL PHARMACY, INC.

Pharmacy Address

9843 WINDISCH RD
WEST CHESTER, OH 45069

Pharmacy Comments

Contract Details

Approval Date

4/15/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Sherry Hoback, Chief Executive Officer
(813) 866-0930 Ext: 1319

Contract Pharmacy Representative

CenterWell Pharmacy
Jay Duprey, ASSOCIATE DIRECTOR, CHANNEL DEVELOPMENT
(248) 921-7578

Signed By Date

4/15/2024

340B Drug Pricing Program Database