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PRAXIS SPECIALTY PHARMACY 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
PRAXIS SPECIALTY PHARMACY LLC
Pharmacy Address
PRAXIS RX PHARMACY
5455 W WATERS AVE STE 214
TAMPA, FL 33634
Pharmacy Comments
Contract Details
Approval Date
1/14/2016
Contract Begin Date
1/28/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/29/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Elisa DeGregorio, Grants Manager
(727) 464-8434
Contract Pharmacy Representative
Praxis Specialty Pharmacy
Bill Bailey, President
(813) 321-5082
Signed By Date
1/14/2016
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