Contract Pharmacy Details

S A S B INC
RWII34982 Midway Specialty Care Center Inc

Covered Entity Details

Entity Name

Midway Specialty Care Center Inc

Subdivision Name

Type

Ryan White Part B

340B ID

RWII34982

Entity Address

356 E MIDWAY RD
Fort Pierce, FL 34982

Grant Number

X07HA00057

Participating Start Date

1/1/2014

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

S A S B INC

Pharmacy Address

OKEECHOBEE DISCOUNT DRUGS
203 SW PARK ST
OKEECHOBEE DISCOUNT DRUGS
OKEECHOBEE, FL 34972-4160

Pharmacy Comments

Contract Details

Approval Date

4/13/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/15/2019
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Moti Ramgopal, CEO
(772) 464-9746

Contract Pharmacy Representative

Steven D. Nelson, President & CEO
(863) 763-5100

Signed By Date

4/13/2017

340B Drug Pricing Program Database