340B Drug Pricing Program Database

Pharmacy Name

BAYCARE HOME CARE, INC.

Pharmacy Address

D/B/A BAYCARE PHARMACY
3003 W DR MARTIN LUTHER KING JR. BLVD
TAMPA, FL 33607

Pharmacy Comments

Approval Date

5/24/2016

Contract Begin Date

7/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/14/2017
Ownership change

Covered Entity Signing Official


Contract Pharmacy Representative

Iqbal Burney, Director of Pharmacy
(727) 394-6577

Signed By Date