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EMPATH HEALTH PHARMACEUTICALS, LLC
RWI33603 Empath Health, Inc.
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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
EMPATH HEALTH PHARMACEUTICALS, LLC
Pharmacy Address
EMPATH HEALTH PHARMACY
PHARMACY DEPARTMENT
3050 1ST AVE S
ST PETERSBURG, FL 33712
Pharmacy Comments
Contract Details
Approval Date
7/7/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/13/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rafael Sciullo, President/CEO, Empath Health, Inc
(727) 523-2101
Contract Pharmacy Representative
Empath Health Pharmaceuticals
Aaron Rigali, Pharmacy Manager
(727) 209-3500
Signed By Date
7/7/2017
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