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AHSSHC
RRC100069-00 ADVENTHEALTH CARROLLWOOD
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Covered Entity Details
Entity Name
ADVENTHEALTH CARROLLWOOD
Subdivision Name
Type
Rural Referral Center
340B ID
RRC100069-00
Entity Address
7171 NORTH DALE MABRY HIGHWAY
TAMPA, FL 33614
Medicare Provider Number
100069
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
AHSSHC
Pharmacy Address
RX PLUS PHARMACY
5050 WESLEY RD STE 110
APOPKA, FL 32712
Pharmacy Comments
Contract Details
Approval Date
4/8/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christopher Tyson Sauder, CFO
(813) 558-4926
Contract Pharmacy Representative
AdventHealth
Brian Marlow, VP Ambulatory Pharmacy Strategy and Mail Order Operations
(336) 501-0197
Signed By Date
4/8/2025
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