340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DS RX LLC
STD336034 Doctors Goodwill Foundation, Inc.
Print
Covered Entity Details
Entity Name
Doctors Goodwill Foundation, Inc.
Subdivision Name
Kantilal Bhalani, MD
Type
Sexually Transmitted Diseases
340B ID
STD336034
Entity Address
4310 North Nebraska Ave
Tampa, FL 33603
Grant Number
H25PS005131
Participating Start Date
10/1/2024
Last Recertification Date
6/2/2025
Pharmacy Details
Pharmacy Name
DS RX LLC
Pharmacy Address
ACME PHARMACY
1548 E FOWLER AVE
TAMPA, FL 33612-5416
Pharmacy Comments
Contract Details
Approval Date
9/3/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kantilal Bhalani, CEO
(321) 298-5531 Ext: 9414416212
Contract Pharmacy Representative
Acme Pharmacy
Dipal Patel, OWNER
(813) 971-6565
Signed By Date
8/22/2024
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