340B Drug Pricing Program Database
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SAMSON MERGER SUB, LLC
CHC00024-00 PINELLAS, COUNTY OF
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Covered Entity Details
Entity Name
PINELLAS, COUNTY OF
Subdivision Name
PINELLAS CO BD OF CO COMM/HOMLESS PGM
Type
HRSA-Funded Health Center
340B ID
CHC00024-00
Entity Address
440 Court Street, 2nd Floor
CLEARWATER, FL 33756
Grant Number
H80CS00024
Participating Start Date
10/1/2014
Last Recertification Date
2/16/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
SAMSON MERGER SUB, LLC
Pharmacy Address
WINN DIXIE #2409
2139 34TH STREET NORTH
SAINT PETERSBURG, FL 33713
Pharmacy Comments
Contract Details
Approval Date
8/15/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Natalie Jackson, Division Director, Community Connections
(727) 582-7507
Contract Pharmacy Representative
Curtis Hartin, Director of Pharmacy Managed Care
(904) 370-7776
Signed By Date
8/15/2014
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