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CURANT HEALTH FLORIDA, LLC
CHC00836-08 SOUTH CENTRAL PRIMARY CARE CENTER
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Covered Entity Details
Entity Name
SOUTH CENTRAL PRIMARY CARE CENTER
Subdivision Name
South Central Women's Health
Type
HRSA-Funded Health Center
340B ID
CHC00836-08
Entity Address
119 Norman Dorminy Dr. Suite B
Fitzgerald, GA 31750-8855
Grant Number
H80CS00836
Participating Start Date
4/1/2015
Last Recertification Date
1/29/2024
Entity Termination Date
10/1/2024
Pharmacy Details
Pharmacy Name
CURANT HEALTH FLORIDA, LLC
Pharmacy Address
11001 ROOSEVELT BLVD STE 1400
ST PETERSBURG, FL 33716-2338
Pharmacy Comments
7/12/2010 - PHARMACY MOVED FROM 7205 BRYAN DAIRY ROAD.
Contract Details
Approval Date
1/12/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Robert B. Tucker, CEO
(229) 468-9166 Ext: 1
Contract Pharmacy Representative
Curant
Amber Adams, 304B Partnerships Leader
(770) 437-8040
Signed By Date
1/12/2017
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