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HOSPICE OF THE FLORIDA
RWII33712B 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 B
340B ID
RWII33712B
Entity Address
5771 Roosevelt Blvd
720
Clearwater, FL 33760
Grant Number
X07HA00057
Participating Start Date
10/1/2015
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HOSPICE OF THE FLORIDA
Pharmacy Address
EMPATH HEALTH PHARMACY
11701 S BELCHER RD
UNIT 126
LARGO, FL 33773
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
10/21/2020
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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