Contract Pharmacy Details

UNIVERSITY DRUGS LLC
RWI33603 Empath Health, Inc.

Covered Entity Details

Entity Name

Empath Health, Inc.

Subdivision Name

AIDS Service Association of Pinellas, Inc. dba EPIC

Type

Ryan White Part A

340B ID

RWI33603

Entity Address

4703 N FLORIDA AVE
TAMPA, FL 33603

Grant Number

H89HA00024

Participating Start Date

7/1/2015

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

UNIVERSITY DRUGS LLC

Pharmacy Address

3220 COVE BEND DR
TAMPA, FL 33613-2752

Pharmacy Comments

Contract Details

Approval Date

7/13/2015

Contract Begin Date

10/1/2015

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Joy Winheim, Executive Director
(813) 237-3066

Contract Pharmacy Representative

University Drugs
Mouz Janaoowalla, PIC
(813) 615-0742

Signed By Date

7/13/2015

340B Drug Pricing Program Database