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BAYCARE HOME CARE INC
DSH100067 ST. ANTHONYS HOSPITAL
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Covered Entity Details
Entity Name
ST. ANTHONYS HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH100067
Entity Address
1200 7TH AVENUE NORTH
ST. PETERSBURG, FL 33705
Medicare Provider Number
100067
Participating Start Date
10/1/2020
Last Recertification Date
9/8/2023
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
BAYCARE HOME CARE INC
Pharmacy Address
8452 118TH AVE N
LARGO, FL 33773-5007
Pharmacy Comments
Contract Details
Approval Date
4/7/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2015
Contacts
Covered Entity Signing Official
Carl Tremonti, Chief Financial Officer
(813) 870-4020
Contract Pharmacy Representative
Iqbal Burney, Director of Pharmacy
(727) 394-6577
Signed By Date
4/7/2015
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